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Residency Programs
FAQ
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Residency Programs
FAQ
CCHF
Grit and Grace
A CCHF Virtual Conference
June 3-5, 2021
SUBMIT A WORKSHOP
Workshops must be submitted by April 15, 2021
Important Note: Before you submit this form you'll be asked to upload a high resolution photo and CV or resume for yourself and any co-presenters. These are required. Please be prepared before beginning your submission.
Presenter Information
First Name
Last Name
Credentials
MD, PhD, PA-C, etc.
Organization/Clinic Name
Your Job Title
What do you prefer to be called?
Is this your 1st CCHF conf?
Yes
No
Have you previously presented at a CCHF conference?
Yes
No
Have you presented
this workshop
somewhere else?
Yes
No
Preferred email
Cell Phone
Work Phone
Street Address
City
State
Zip
CCHF desires to be a people of "every tongue, tribe and nation." (Rev 5:9-10)
How do you self-identify?
Please select...
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Middle Eastern or African
Native Hawaiian or Other Pacific Islander
White
Multi-racial/Multi-ethnic
Some other race, ethnicity or origin
Prefer not to answer
Your assistant's name (first and last)
Your assistant's title
Your assistant's work email:
Do you plan to have a co-presenter(s)?
No
Yes
Not yet sure
I will be presenting with:
Session Information
Session Title
Choose a title that will both define what you plan to present and attract people to attend.
Session Description
This course description will appear in the Conference Program. Limited to 650 characters.
State the problem that your session will seek to solve.
State the objectives of your session.
Solutions you will propose for the problem or the take-aways attendees can expect to receive.
Which of the following audiences will be benefited by your session?
Applies to all areas
Health Providers
Administrators or Directors
Support Staff
Behavioral Health Professionals
Oral Health Professionals
Med/Health Students or Residents
Nursing Professionals
People wanting to start a clinic
Other
Workshop Format and Style
All workshops are 30 minutes.
Workshops will be pre-recorded. Detailed instruction will follow.
Recordings of workshops are due by May 3.
Workshop presenters are asked to join a live online chat during your workshop session.
Registration and Reimbursement
Conference Registration Fees
Traditionally CCHF presenters have served at their own expense or are sponsored by their organizations. However, for those needing assistance CCHF can offer to cover registration and/or partial expenses for one presenter per workshop
.
If selected to present, either my organization or I will cover my conference registration fees.
If selected to present, I ask that CCHF pay my registration fees.
Upload files
Upload
your
Resume/CV
Upload co-presenter/panelist Resume/CV
Upload co-presenter/panelist Resume/CV
Upload
your
photo for use in conference materials
Upload photo of co-presenter or panelist
Upload photo of co-presenter or panelist
If your workshop might qualify for Continuing Education Credit, please provide citations of peer-reviewed articles (scientific/medical journals, etc.) that were used as one of the determining factors for identifying professional practice gaps that you plan to address.
Or enter link here:
Legal Agreements
I agree to the Representation and Intent Policy
yes
I agree to represent the mission and values of CCHF - Christian Community Health Fellowship over my personal agenda or the agenda of my organization.
I agree to the Distribution of Notes Policy
Yes
If you require that attendees have their own copy of your notes during your presentation, you will need to provide those notes for digital download. Word (.doc or .docx); .pdf files; PowerPoint (.ppt); and JPEG (.jpg) are acceptable formats.
I agree to the Session Change or Cancellation Policy
Yes
CCHF hopes that you regard your role at the conference as highly as we do. Cancellations are major interruptions for everyone, and have a tremendously negative impact on attendees and organizers. Should an emergency arise, please contact the CCHF staff immediately. Due to CE controls and programming, significant changes in topic, speaker or title are not permitted once submittals have been made by our office. Please contact the CCHF office with any questions. (901) 271-6400; info@CCHFmail.org
I agree to the Team Teaching Policy
Yes
Sessions taught by more than one person will most likely be noted in the program and on the website by only the main presenter or designated moderator. CME accreditation will be based on the credentials of the main presenter. .
I agree to the Rights to Record Policy
Yes
I understand that most breakout and plenary sessions are recorded and made available to attendees and for display and download on the CCHF website. By accepting an invitation to speak, I grant the right for CCHF to record sessions and reproduce information for wider distribution. CCHF may in its discretion, duplicate and/or edit each recorded session. Presenter hereby grants CCHF and its assigns the non-exclusive right to make, sell or otherwise distribute copies of the recording in mp3, mp4, or other appropriate electronic format, and in written transcript form, and to use my name and likeness in connection with such copies. The Session may be podcast, viewed and/or downloaded worldwide, via the web. CCHF shall have no obligation to pay royalties or other compensation to Presenter in connection with recording, duplication, display, showing, broadcasting (internet or otherwise), sale, distribution, sub-licensing, or any other use of the recording as set forth in the Policy. CCHF and its assigns shall be permitted to display/show the recording or parts thereof at all times.
I agree to the Permissions Policy
Yes
CCHF may take pictures, video, make interviews, and record sessions and other portions of the conference. I give CCHF, its agents and assigns, permission to publish, distribute, broadcast, televise, promote, license, sell and copyright for educational or related promotional purposes any photograph, videotape, motion picture, or sound recording produced directly by CCHF or under its sponsorship, which may include the image or likeness of me. I also authorize CCHF to reproduce, amplify, simulate, filter, or otherwise distort my voice and all instrumental musical and other sound effect produced by me. In addition, I authorize the use of any printed material in connection therewith. I release all claims against CCHF and its assigns with respect to copyright ownership and publication. I agree and shall not receive any fee and that all rights, title, and interest to the above materials and use of them belong to CCHF. I understand and agree that these materials may be duplicated or distributed with or without charge, and/or altered in any form or manner without future/further compensation or liability, in perpetuity. I understand that CCHF is obtaining this release and assignment of copyright in order to conform to U. S. copyright laws and international treaties and conventions.
Contact Information