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AUCH Training & Event Needs
Please contact the Communications Team for further assistance.
Type of Event
(Required)
In-Person
Virtual
Both
General Event Information
AUCH Contact for this Event
(Required)
Contact Email
(Required)
Title of Event
(Required)
Is this a multi-day event?
(Required)
Yes
No
Date(s) of Event
(Required)
MM slash DD slash YYYY
Time(s) of Event
(Required)
(e.g. 8:00am – 5:00pm)
Event start date
(Required)
MM slash DD slash YYYY
Presenter(s)
(Required)
Presenter(s) Bio
(Required)
Presenter Headshot
Drop files here or
Select files
Max. file size: 64 MB.
If you’d like to use presenter(s) headshot on event materials, please upload here.
Description of Event
(Required)
Have you checked AUCH's Calendar for Scheduling Conflicts?
(Required)
Yes
No
N/A
Who is your target audience(s)?
(Required)
Which AUCH Connect Communities does this need to be added to?
(Required)
AUCH Board of Directors
Behavioral Health Peer Group
Billing Learning Team
Chief Operations Officer Peer Group
Communications Peer Group
Emergency Preparedness Peer Group
Financial Directors Roundtable
HIT/Data Peer Group
Human Resources Group
Immunizations Peer Group
Medical Directors Roundtable
Outreach and Enrollment Peer Group
Pharmacy Roundtable
Quality Improvement Forum
(Mark all that apply)
Special Instructions
Registration Deadline
(Required)
MM slash DD slash YYYY
Registration is required for all AUCH trainings. In-person: 7 days prior Virtual: day of
AUCH staff to include in weekly registration updates?
(Required)
Additional marketing materials needed?
(Required)
Social Media
Other
None
This is anything in addition to an event flyer and registration page.
Other Marketing Materials
Training Cost
(Required)
Member and Non-member pricing (if applicable)
Event Space (in-person & hybrid only)
Location
(Required)
Number of attendees (approxmiate)
(Required)
Event Description
(Required)
Event Layout
(Required)
Do you need space for exhibitors?
(Required)
Yes
No
Unsure
Do you need a Hotel Room Block?
(Required)
Yes
No
