Submit an Event

National Health IT Week 2015 Partner Event Survey

Thank you for hosting an event during National Health IT Week! All your activities leading up to and during NHIT Week will bring attention to this important cause. Please complete the brief survey so we can help promote your event*. If you have questions or need further support, contact info@healthitweek.org.

Please provide your contact information:

Organization Name *

Primary Contact Name *

Primary Contact Title *

Primary Contact Email *

Primary Contact Phone *

Will this be an in-person event, or a virtual event such as a webinar? *

In Person

Virtual

Please your share event details. Input N/A for venue information, etc. if your event is virtual.

Event Name *

Event Location *

Event Venue *

Event Date *

Month

Day

Year

Event Start Time *

Hour

Minute

Event End Time *

Hour

Minute

Event website or url *

Registration link *

Please provide a brief description of your event. This description will be posted on the NHIT Week Activities page. Descriptions must be 75 words or less.

Brief Description *

Description word limit: 75 words

Help Prevent Spam *