C17 Call for Papers AHAA Convention: Call For Papers Submission Day Ahead Series American Hearing Aid Associates (AHAA) is again pleased to present our popular Day-Ahead Vendor Presentation Series at our Convention. We’d like you to share your business' best practices with our Associates beginning in the afternoon on Wednesday, February 22, 2017. We have a limited number of spaces available. Preference will be extended to those presentations that offer business improvement ideas. Presentations must be limited to 1.5 hours. AHAA offers Continuing Education Units (CEUs) to Convention participants. Materials must be received by the deadline for CEU eligibility. Submissions received after the deadline will need to be submitted directly by the manufacturer. Submissions are subject to approval by the AHAA Convention Committee. Available times may vary. The final class dates and times will be confirmed by Monday, January 9, 2017. Deadline: Friday, November 18, 2016 - All fields required Exhibitor: Presenter: Your E-mail address: Topic: Synopsis: Learner Outcomes (1): Learner Outcomes (2): Learner Outcomes (3): I would like to provide my Professional Biography by: Copy and Paste Upload CV URL Professional Biography: Professional Biography CV Upload: Uploading Files. Please Wait. Drop a file here or click to upload Choose File Maximum upload size: 8.39MB Professional Biography URL: Personnel Relationship Disclosure In compliance with American Speech-Language Hearing Association's Continuing Education Board's Requirements, American Hearing Aid Associates requires program planners and instructional personnel to disclose information regarding any relevant financial and non-financial relationships related to course content prior to and during course planning. Based on the information provided, American Hearing Aid Associates will engage the program planner/instructional personnel in a guided interview process which seeks to understand how the relevant financial or nonfinancial relationship may influence the content of the course. Relevant Financial Relationships These are those relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, gift, speaking fee, consulting fee, honoraria, ownership interest (e.g., stocks, stock options, or other ownership interest, excluding diversified mutual funds), or other financial benefit. Financial relationships can also include "contracted research" where the institution gets the grant and manages the funds and the individual is the principal or named investigator on the grant. Do you have relevant financial relationships to disclose? No Yes Financial Relationship(s) Financial relationship with (name of Company/Organization): What was received? (Check all that apply) Salary Consulting fee Intellectual property rights Speaking fee Royalty Honoraria In kind Hold patent on equipment Grants Gift Ownership interest (e.g., stocks, stock options or other ownership interest excluding diversified mutual funds) Other financial benefit (please describe): For what role? (Check all that apply) Employment Management position Teaching and speaking Board membership Ownership Consulting Membership on advisory committee or review panels Independent contractor (including contracted research) Other activities (describe): Add Remove Relevant Non-financial Relationships These are relationships that might bias an individual including any personal, professional, political, institutional, religious or other relationship. May include personal interest or cultural bias. Do you have relevant non-financial relationships to disclose? No Yes Non-Financial Relationship(s) Non-Financial relationship with (name of Company/Organization): What is the nature of the non-financial relationship? (check all that apply and describe) Personal Professional Political Institutional Religious Bias For what role? Volunteer employment Volunteer teaching & speaking Board membership Volunteer consulting Volunteer membership on advisory committee or review panels Other volunteer activities (describe): Add Remove Terms and Conditions HIPAA Requirements To comply with the Health Insurance Portability and Accountability Act (HIPAA), we ask that all program planners and instructional personnel insure the privacy of their patients/clients by refraining from using names, photographs, or other patient/client identifiers in course materials without the patient's/client's knowledge and written authorization. I am in compliance with HIPAA policies. I attest that the information in this disclosure is accurate at the time of completion and I agree to notify American Hearing Aid Associates of any changes to this information between now and the presentation.