Speaker Application Form Thank you for your interest in CME offerings from the Tennessee Academy of Family Physicians. Please complete the following information for the TNAFP Education Committee to consider you as a potential speaker for an upcoming conference or event. Contact TNAFP Director of Member Services Karen Baird (615.370.5144 or kbaird@tnafp.org) if you have questions or need assistance.Name(Required) First Last Email(Required) Phone(Required)What is your proposed CME session title?(Required)Please submit 3 learning objectives for your proposed CME session.(Required)Where would you like to deliver your CME session, if accepted?(Required)virtually via TNAFP webinarin-person or virtually at a TNAFP seminar or other eventin-person at the TNAFP Annual Conferenceno preferenceWhat qualifications do you offer as a speaker?(Required)