Homepage
Agenda
Speakers
FAQ
Sponsors and Support
Menu
Homepage
Agenda
Speakers
FAQ
Sponsors and Support
EmpowerX Conference
A conference that is for us and by us
Speaker's Info
Please enable JavaScript in your browser to complete this form.
Name (including Credentials)
*
Email
*
Do you accept our invitation to speak at the EmpoweRx Conference
Yes
No
Do you agree to have name and image used in brochure, programs, and materials for the promotion of the 2023 EMPoweRx Conference
Yes
No
Title of Presentation
Learning Objectives (if changing), CV, Bio, and Photo
*
Click or drag files to this area to upload.
You can upload up to 5 files.
Select the statement that best describe any financial disclosures
No, I have a vested interest in or affilation with a company offering support or grant money to this event
Yes, I have a vested interest in or affilation with a company offering support or grant money to this event
If yes selected in the prior question, select the affiliation/ financial interest that is the most appropriate.
Grant/Research Support
Consultant
Stock Shareholder (directly purchased)
Speaker with honorarium
Other Financial or Material Support
Other Affiliation
If yes selected in the question 2, write the corporate organization of your affiliation/ financial interest below
Submit
Important Information & Deadlines for the EmpoweRx Conference
02/13/23:
Speakers Info Due
Finalized Title (if changing) and learning objectives
Disclosures
Headshot
Bio
03/16/2023
2-3 Assessment Questions and answers that support learning objectives
04/17/23:
PowerPoint Presentation Due
05/15/23:
Last-minute changes to the presentation
Upload Assessment Questions
Upload Powerpoint Presentation
Subscribe to our Mailing List
Receive the latest news about the conference and more!
Send
Contact
#1107 78 Folly Road Ste B9 Charleston SC 29407
843-994-4429
Team@pharmacy-acutecareuniversity.com
Loading Comments...
Write a Comment...
Email (Required)
Name (Required)
Website