Speaker Interest Submission

Upon clicking the Submit button below, your form and any files you attached will be sent to the ConnAPA office. You will receive a confirmation of receipt within 1-2 business days  at the email address you provided.  If we have any questions about the information, we will contact you. Further correspondence from you can be sent directly to: connapa@ssmgt.com

For reference, conference content generally follows the NCCPA PANRE Blueprint.

Thank you for your interest in participating in the continuing education of PAs and other healthcare providers.

Speaker Form

  • Please submit a minimum of 3 objectives
  • Accepted file types: jpg, png, Max. file size: 100 MB.
  • This field is for validation purposes and should be left unchanged.