Activity Information Presenter Name * Enter you name Presentation Date * If your presentation is due to be available on-demand, or is not currently scheduled, enter today's date. Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year2020202120222023 Chose one Activity Type * Pediatric Grand Rounds PPGC (Pediatric Postgraduate Course) PCP Seminar Series Other... Activity Type Other... Title Title of your presentation Presentation To upload your presentation:First click the [Choose File] button, then click [Upload]. If you do not click upload the file will not be uploaded and you will have to complete this form again. File Upload: * Files must be less than 1 GB.Allowed file types: ppt pptx odp rar zip. I AGREE TO OBTAIN THE NECESSARY COPYRIGHT PERMISSION(S) IF ANY PORTION OF MY PRESENTATION IS NOT MY ORIGINAL WORK: * Yes No I AGREE TO ABIDE BY HIPAA REGULATIONS: * Yes No Leave this field blank
