Below is the application to be an instructor at the Goldfarb Foundation's 2018 Annapolis Meeting.  All details for the event are included in this letter, please read the letter in it's entirety before completing the application.  If you encounter issues with the application, contact Lara Beer-Caulfield.

All applications submitted by 9:00 am on January 8, 2018 will be reviewed at the Foundation's January Planning Meeting.  Applications received after January 8 will be reviewed on an as needed basis.



Disclosures: Select below if you have any disclosures to make, this information will be reviewed by the planning committee.

If applicable, please check which type of disclosure you need to make and then list the relevant names of the companies/organization.
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Select your preferred speaking day



The Foundation requires all of it's DPM speakers be active (dues paying) APMA & component society members. Are you currently an APMA member?


Topic area your presentations will cover











Each speaker in Annapolis will present 3-5 lectures within a timeblock of 2-3 hours.  Provide the title and description information for at least 2 lectures for consideration; if you know more topics that you would present, complete information or as many as possible.
Enter information relevant to your lecture-objectives, purpose, and what an attendee at the lecture can take away in implement in their practice.
Approximate length of lecture #1



Approximate length of lecture #2



Approximate length of lecture #3



Approximate length of lecture #4



Approximate length of lecture #5



By checking "yes" below and entering your initials, you are signing this application and attesting that you are the speaker applying and not a third party organization submitting the information on behalf of another person.
Select yes below to agree to the terms as stated above.
By entering your name, it is equivalent to your signature in agreeing to the above terms.
CV Upload
Upload a copy of your CV for our review. PDF or Word documents only.
Click the "Submit" button below to send your application.
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