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Thank you for serving as a presenter for an ASTRO educational activity. 

You don't need to log in to complete this form, but logging in with your ASTRO credentials will allow you to save the form and return to it, if needed. Once logged in, you will see a Save Draft button at the bottom of each page. To return to the form, log in to the ASTRO Academy and paste the URL for the form, https://academy.astro.org/content/astro-educational-program-presenter-form, into your browser tab.

Please contact ASTRO eLearning with any questions.

 

PRESENTER INFORMATION


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Please enter your full name including your credentials.
Please enter your name as you would like it to display in activity materials and promotion, If different than full name above.
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Your cell number would only be used if ASTRO needs to reach you urgently for a live event (e.g., technology issue).
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Please enter your institution/practice name as you would like it to display in activity materials and promotion.
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The information above will be used for your activity role. If you would like to make permanent changes to the information in your ASTRO profile, please visit MyASTRO.