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eg. MD, CNS, RN, PhD

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Just the username, no @

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three letter country abbreviation

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Please provide three possible topics for your presentation. When we approve your application, we will select one of them to display on the website along with your bio and portrait. We will let you know which topic we have approved.

Will be cropped automatically. Please use a portrait (no full-body), fully clothed (e.g., no body-building competition day photos, no swimsuits, or partially nude images). No illustrations/Bitmoji or IG/Snapchat filters.

Enter as many as you like.