Florida Academy

of Nutrition and Dietetics


Symposium Speaker Proposal Form


2018 Florida Food and Nutrition Symposium (FL FANS)
July 14-17
Renaissance Orlando at SeaWorld, Orlando, FL

The FL FANS is the state’s premier conference for dietitian/nutritionists, attracting attendees from across the state of Florida and as far away as New York and Texas. This three and a half day event provides educational sessions on emerging research, practical applications, technology innovations, leadership and social media trends. All areas of food and nutrition are represented including, food service, clinical and community practice, school nutrition, wellness, private practice and business and industry. There is ample time for networking and visiting the exhibits to learn about new products and services. FL FANS maintains full control of the program content, speaker selection and moderators. Topics must be evidence-based and free of commercial bias. Presentations that focus on products or programs will not be considered. If selected, speakers must sign a Disclosure Statement identifying any commercial support of their presentation.


Speaker Name & Credentials*

Please enter your name and credentials.

Speaker Title

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Affiliation

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Speaker Street Address*

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City*

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State*

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Zip Code*

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Contact Phone*

Please enter your contact phone in this format (123-456-7890).

Email*

Please provide a valid email address.

Is the speaker a member of the Academy of Nutrition and Dietetics?*

Please make a selection.

Will the speaker be fully sponsored by an outside company or organization?*

Please make a selection.


If so, please provide contact information below.


Sponsor Company

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Contact Name

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Phone

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Email

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If not sponsored, FL FANS will consider financial compensation requests on an individual basis. Please note, preference will be given to budget conscious proposals. Please indicate speaker's request for compensation for honorarium. Travel including airfare, ground transportation and parking/toll fees will be reimbursed as well as one room night at the headquarters hotel and meals for one day up to $75.00.


Honorarium

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Session Length*

Please select a session length.

Suggested Title (The program committee may suggest edits to enhance attendee interest).*

Please provide a session title.

Session Abstract (Please provide 2-3 sentences that can be used to market your session, if accepted)*

Please provide a session abstract.

Learning Objectives (Your learning objectives should complete the following sentence. After attending this session, the participant will be able to*

Please provide three learning objectives.

Speaker Bio (250 words or less)*

Please provide a speaker bio.





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