AMWA 101 Speaker Information - American Medical Women's Association

Name as you would like it to appear in the program*

i.e. John Smith, MD, PhD, FACP

Title*

i.e. Associate Professor of Medicine, Columbia University College of Physicians & Surgeons

Biography (less than 350 words)*

Biography (less than 150 words for introductions)*

An engaging title for your presentation*

Feel free to offer several titles for the committee's consideration.

Headshot

Max. file size: 256 MB.

Please submit jpeg files.

Will you have a power point?

Permission to post power point or handout on the AMWA website?

Permission to post Videotape of session on the AMWA website?