Webinar Request

Please provide your webinar information.

OSMA staff will set up meetings for registration and communicate promotions.
By providing the information requested below, you will enable staff to plan, prepare and coordinate efforts to allow you to have a successful webinar with your audience.
Organization/Company/OSMA Section Name
Proposed webinar title
Webinar description: - 2-3 sentences describing the topic, what will be discussed:
Target audience: - who is the webinar intended for?
Key takeaways: - what should attendees learn or gain?
Preferrred date & time:
Provide 2 or 3 alternate dates:
Expected length:
Speaker(s): - Name(s), credentials, title(s), organization(s)
Speaker bio:
CME status:
Presentation format:
Will slides/handouts be provided?
What is the focus of the webinar?
Will the webinar be recorded? and Can OSMA share/post the recording?
Any special technology needs? - Breakout rooms, polls, videos, multiple presenters, etc.
Who will approve promotional materials?
Webinar setup
OSMA staff - indicate if you want to request an OSMA staff member presentation during the webinar.
Primary Contact:
First Name
Last Name
Email Address
Mobile Phone
   - denotes required fields