Application for ASHT Times Digital CE Supplement

Thank you for your interest in contributing to the ASHT Times Digital CE Supplement. We are looking for original presentations that will provide additional educational opportunities for our members.

Please complete the entire form. We regret that we can not consider incomplete applications.

All final presentation content must be approved by the ASHT Education Division.

Learning Objectives
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If this material has been presented before, please provide an electronic copy of the presentation for review along with your application. Please provide any links to online versions, websites or video clips
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Information about your session (please mark your selections in the boxes provided)
Occupation (check all that apply)
Please provide contact information for all presenters. If there are multiple presenters, please provide contact information for each presenter
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