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Bringing Public Health and Primary Care Together: The Practical Playbook National Meeting May 22 – 24, 2016 | Hyatt Regency | Bethesda, MD Speaker Proposals The Practical Playbook National Meeting production team is actively seeking suggestions and submissions for plenary, keynote and workshop session speakers and facilitators. To submit a proposal to speak or facilitate a session, please compete the included Practical Playbook National Meeting Potential Speaker Proposal form. You may submit complete forms to Alyssa Singer via email: [email protected] To recommend a speaker, panelist or facilitator for any of the National Meeting sessions please fill out The Practical Playbook National Meeting Speaker Suggestions form included in this informational packet. Potential Speaker Proposal Form Please complete the form fields, save and return via email to: [email protected] . Indicate National Meeting Speaker Proposal in the subject line. Name: Company: Name of BUILD Grant Program you are Affiliated With: Address: City: State: Zip: Phone: Fax: Email: Asst: ***Please attach current biography***

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Page 1: Practical playbook national meeting_potentialspeakerproposal_build_10.02.15

Bringing Public Health and Primary Care Together:The Practical Playbook National Meeting

May 22 – 24, 2016 | Hyatt Regency | Bethesda, MD

Speaker ProposalsThe Practical Playbook National Meeting production team is actively seeking suggestions and submissions for plenary, keynote and workshop session speakers and facilitators. To submit a proposal to speak or facilitate a session, please compete the included Practical Playbook National Meeting Potential Speaker Proposal form. You may submit complete forms to Alyssa Singer via email: [email protected]

To recommend a speaker, panelist or facilitator for any of the National Meeting sessions please fill out The Practical Playbook National Meeting Speaker Suggestions form included in this informational packet.

Potential Speaker Proposal FormPlease complete the form fields, save and return via email to: [email protected]. Indicate National Meeting Speaker Proposal in the subject line.

Name: Company: Name of BUILD Grant Program you are Affiliated With: Address: City: State: Zip: Phone: Fax: Email: Asst:

***Please attach current biography***

1. Recent Speaking Experience—Please note presentations within the past year, including the event name, your presentation’s topic, and the number of people in attendance.

2. Speaking References—Please list name of contact, city, state, phone number and/or e-mail.1.

2.

3.

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3. Workshop/session I am interested in facilitating/speaking in….—Please list which National Meeting session you are interested in leading. A description of current topics was included in the Practical Playbook National Meeting Speaker Outreach Workshops & General Sessions document included in this informational packet.

4. Potential Presentation Proposal—Please attach a separate sheet for detailed outlines/proposals. Include 3 to 5 bullet points listing what the audience will learn from your presentation, particularly practical skills/knowledge. If you are submitting a case study, please provide information on what stage of collaboration your case study represents, what type of collaboration it is, what outcomes it has achieved, challenges you have faced and learnings you will be able to speak to.

5. Additional Comments – Please indicate whether you are BUILD Grantee and, if so, the name of your project. Include any other comments or additional information that may support your proposal.

Speakers BenefitsSelected speakers will be provided with complimentary registration for the National Meeting as well as lodgings. Travel will be reimbursed for speakers according to The Practical Playbook’s reimbursement policy. For questions related to speaker lodging, travel and reimbursement please contact Kate Holeman at [email protected].