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How to fill out the ImmunizationServicesDivision/Education online
This guide provides a structured approach to completing the ImmunizationServicesDivision/Education Speaker Request Form online. Whether you are familiar with the process or it’s your first time, this step-by-step guide will help you accurately fill out the form with confidence.
Follow the steps to successfully complete your speaker request form.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Enter today’s date in the provided field.
- Indicate whether this is a public health conference by selecting 'YES' or 'NO'.
- Fill in the date(s) presentation is requested, along with the location of the meeting, including city and state.
- Write the title of the meeting and the topic of the presentation clearly.
- Specify the expected presentation times and length of the presentation.
- Estimate anticipated attendance and detail the target audience.
- If a specific speaker is requested, provide their name in the corresponding field.
- Briefly describe the activity, including goals, objectives, intended benefits, and target audience.
- Indicate whether your organization will provide continuing education and select applicable options (e.g., CME, CNE).
- Answer whether you have an LCD projector that connects to a laptop computer by selecting 'YES' or 'NO'.
- Complete the contact person’s details, their title, the hosting organization, and address.
- Include phone and email contact information.
- Use the additional comments section if you have any other relevant information to share.
- Once all fields are filled, save your changes, download the completed form, print, or share as necessary.
Complete your speaker request form online today for a seamless submission process.
In Cal Poly, you should submit immunization records to the Student Health Center, either through an online portal or in person. Ensure you follow the specific guidelines set by the health center for proper submission. The ImmunizationServicesDivision/Education can assist in understanding these requirements for better compliance.
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