Please complete the form completely according to the specific proposal instructions. Direct any questions to Patti Weber at pweber@ifebp.org
Include postgraduate academic credentials (eg, PhD, MPH, etc)
(Street, city, state/prov., zip/postal code)
Include:
1. Name, credentials, title and organization of the individual suggesting the Connection
2. Brief, approximately 50-word description of the Connection (i.e., the discussion topic, meal or activity proposed), including a title
3. Preferred dates and times for the session (Wednesday, Thursday or Friday—morning, noontime or evening)
Include: All required documents including: Session description and presenter's information.