Participation Registration — AAHA! Virginia Speaker Network Back to AAHAVA.com AAHA! Virginia AAHA! Virginia · Speaker Network Participation Registration Events · Webinars · Video Tapings · Radio & Podcast Heritage IS Equity 1Profile2Engagement3Materials4Review Personal InformationName(Required) First Last Title / Positione.g. Executive Director, Professor, AuthorOrganization / AffiliationCompany, institution, or independentContact InformationEmail PhoneWebsite General Location City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Engagement Type(Required) Live Event Video Taping Panel Discussion Webinar Radio/Podcast Workshop Presentation DetailsTopic / Session Title(Required)Abstract / Description2-3 sentences describing your talk, panel contribution, or session...Target Audiencee.g. Community leaders, Students, General partners...Preferred Duration15 min30 min45 min60 min90 minHalf dayFull dayAvailabilityGeneral Timeframe Spring 2026 Summer 2026 Fall 2026 Winter 2026 Spring 2027 Summer 2027 Fall 2027 Flexible LogisticsHonorarium / Speaking FeeTravel Required?No - Local or virtual onlyRegional (within VA)NationalInternational Speaker BioProfessional BioProvide a 100-250 word professional bio for program materials and speaker introductions...Files & MediaHeadshot / Professional PhotoMax. file size: 512 MB. Presentation Deck (optional)Max. file size: 512 MB. Additional InformationA/V and Technical RequirementsMicrophone, screen, specific software, accessible setup, sign language interpreter...Social Media Handles Add RemoveAgreementsMedia Permissions I grant AAHA! Virginia permission to photograph, record, and use my name and likeness for educational and promotional purposes related to this engagement.Not all submissions guarantee participation. I understand this registration is a request to participate and does not constitute a confirmed engagement. AAHA! Virginia will follow up to confirm all details. * Profile Name— Title / Position— Organization— Contact Email— Phone— Website— Location— Engagement Type(s)— Topic / Session Title— Abstract— Target Audience— Preferred Duration— Availability— Honorarium / Fee— Travel— Materials Professional Bio— Headshot— Presentation Deck— A/V Requirements— Social Media— Agreements Media Permissions— Participation Terms—