Thank you for submitting the proposal form below for the 2018 NCPN Conference
in Louisville, KY. Please read the following before completing the form.
form must be completed in a single session. (The form will
not save your information after you have closed your browser. Your network may periodically "time-out,"
causing loss of information, so it's best to finish within a relatively
short period of time.) You will not be able to retrieve and revise
your information once it has been submitted.
You should receive a copy of your submission via email. To ensure that
you have a copy for your records, please print
a copy of the form prior to submission.
As the key presenter, you will be responsible
for disseminating information to co-presenters.
If you have questions or problems with the form, please contact Sheila
Debbie Mills, NCPN Director
Claudia Maness, Associate Director
Key Presenter Information
fee: Registration fee: All presenters are required to register at the discounted
presenter rate of $495 by August 30. A “registration link” will be
sent to all presenters whose presentations have been accepted on May 15. Please
do not register until you have been notified that your presentation has been
NOTE: To fill out the secure online forms you must be using
the latest browser version or the form may not submit properly. Chrome
version 33 and up, Android 5.0-5.0.2 and up, Firefox version 34 and up, IE 11
and up, Opera 17 and up, Safari 7 and up.
Program Stands required
Please select all that apply.
Title of Presentation
Description of Presentation required
Theater (rows of chairs)
Banquet (round tables)
(Will you need head tables with microphones for
Check all that apply.
Content Level required
your session promote a product or service that is commercially
If yes, which company?
Have you presented before at NCPN? required
Name of Reference required
provide the name and contact information for someone who can attest
to the quality of your proposed session and presentation skills.)
Reference Phone required
Reference E-mail required
Additional comments that might help us in reviewing your proposal
Co-presenters: All presenters are required to register for the conference and pay
the discounted presenter registration fee of $495. A “presenters only” registration link will
be sent to all presenters after presentations have been selected. (Please do not use the
standard registration link.) Presenters should wait to register until they have received
notification that their presentation has been selected on May 15.
Do you have any co-presenters? If so, please tell us how many and
complete their information. required
ensure that you have a copy for your records,
we recommend that you also print a copy of the form before hitting
the "Submit' button below.
will take a moment for the form to process your information,
during that time please do not hit Submit again or close your
You will see a thank you page after your information has been
successfully processed .
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