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PENS Conference Planning Committee Volunteer Form
The PENS Conference Program Planning Committee meets by monthly conference calls. The roles and responsibilities of Conference Program Planning Committee members are as follows:
• Participate in at least 95% of conference calls/meetings
o lack of participation will result in your removal from the committee
o conference calls are held monthly and duration is generally 1 hour
• Review the evaluations and comments of past conferences
• Provide information and input on topics, speakers, format, theme, social functions and activities
• Review submissions to the Call for Presentations
• Participate in the discussion for selection of presentations
• Attend and participate in the conference
o serve as a moderator of one or more sessions, as requested
o assist with other duties, as requested
• Review evaluations and provide feedback for improvement of offering
Planning Committee members receive complimentary registration to the conference and if approved by the Board in the budget, 2 nights' hotel accommodations. The Board will appoint the Planning Committee for the National Conference in June; appointment is for a one-year term. If you have previously served or are currently serving on the Planning Committee, please complete this form and submit it by the deadline. The Planning Committee will meet at the National Conference.
Name
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First
Last
Email
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Organization
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Phone
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Years in pediatric endocrine and/or diabetes nursing:
*
Years as PENS member:
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Have you ever presented at a National Conference?
*
Please select
Yes
No
Do you have experience/knowledge of the process of obtaining continuing education credits (i.e. contact hours)?
*
Please select
Yes
No
What skills/talents would you bring to the PENS Conference Planning Committee?
Please indicate the conference(s) you have attended:
*
None
St. Louis, MO 2024
San Antonio, TX 2023
Bonita Springs, FL 2022
Virtual 2021
Virtual 2020
Long Beach, CA 2019
Bonita Springs, FL 2018
Minneapolis, MN 2017
Denver, CO 2016
Savannah, GA 2015
Louisville, KY 2014
Las Vegas, NV 2013