Presentation Proposal Application
Speaker Information List all proposed speaker name(s), title(s), facility name(s) and contact information as you would like them to appear in the conference brochure (one complimentary registration will be given per facility):
Biography (30 Words)
Presentation Information
1. Presentation Title
2. Presentation Abstract: a 30 word summary of the subject matter covered, for our brochure.
3. This presentation is best described as one of the following: Panel Discussion (limit 3 presenters) Information Presentation Roundtable (1 presenter)
4. Including time for Q & A, this presentation requires: 60 Minutes (Lecture Session) 90 Minutes (Working Session) Greater than 90
5. Intended audience: New User Experienced User
Special Interest Group (SIG): Care Management AcuityPlus CPR/Pharmacy Revenue Cycle Management Technology Management Enterprise Scheduling Health Information Management Smart Identity Innovation/Miscellaneous
6. All presentations should utilize PowerPoint (not slides or transparencies). What are your presentation audio/visual requirements?
Conference Computer (versus your own laptop). If YES, where? Other:
7. Has it been or will the presentation be given elsewhere prior to the 2008 User Group Conference? Yes No If YES, where?
8. Presentation Outline: Please copy & paste a 1 page outline of your presentation proposal. This should clarify for the Conference Planning Committee the content and style of presentation involved.
I attest as an applicant for speaker at the 2008 QuadraMed User Group Conference, that the above information along with the attached documentation is true and correct. I am aware that I give UG & QuadraMed copyright freedom with all papers, presentation materials, and audio/video for my presentation at the conference. I am also aware of UG's policy to not pay travel or lodging expenses for its speakers.
Submit this form by March 7, 2008.