NAHU represents licensed health insurance agents, brokers, consultants and benefit professionals who serve the health insurance needs of employers and individuals seeking health insurance coverage.
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Call for Abstracts/Speakers Application

Applicant Information
Date
First Name
Middle Initial
Last Name
Address
City
State   Zip
Phone
E-mail
Date Available   Tax ID:
Event Applied For
Desired Fee
Desired Fee One Hour   Two Hour   Half Day   Full Day  
Have you ever worked with NAHU? Yes   No
If so, when?
Are you willing to travel outside of your state? Yes   No
If so, where?
Approved for CE in the following States? Yes   No
If so, where?
Exp. Date(s)
Education
Designation
Education Institution
From:   To:
Did you graduate? Yes   No
Degree:
Designation
Education Institution
From:   To:
Did you graduate? Yes   No
Degree:
Other
Institution
From:   To:
Did you graduate? Yes   No
Degree:
References
Full Name
Relationship
Company
Phone
Address
Full Name
Relationship
Company
Phone
Address
Full Name
Relationship
Company
Phone
Address
Information
Please list your topic specialties:
Please list any future meetings of interest for participation:
Please list any professional affiliations:
Please list any written publications/articles:
Short bio:
Be advised that we will request further information upon review. You will most likely need to submit a JPG photo.