Symposium Speaker Proposal Form 2019 Florida Food and Nutrition Symposium (FL FANS) July 13-16 JW Marriott in Marco Island, FL Proposal forms sent after January 15, 2019 will be considered for 2020 meeting. 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 Invalid Input Affiliation Invalid Input Speaker Street Address* Please provide your address. City* Please enter the city. State* Please enter the state. Zip Code* Please enter your zip code. 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?* YesNo Please make a selection. Will the speaker be fully sponsored by an outside company or organization?* YesNo Please make a selection. If so, please provide contact information below. Sponsor Company Invalid Input Contact Name Invalid Input Phone Please provide a valid phone number. Email Invalid Input 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 Invalid Input Session Length* 1 Hour1.5 Hours 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.