NOAH 2020 Conference Presentation Proposal Form

Presentation Proposal

2020 Conference
Contact Information
Proposal Contact Name:

First Name Last Name
Contact Company:
Contact Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Contact Phone Number:

Area Code Phone Number
Contact Mobile Number:

Area Code Phone Number
E-mail:
Presenter Information
Name:

First Name Last Name
Company:
Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number:

Area Code Phone Number
In what type of Organization do you work?

Design/Architecture Community Arts Organization Performing Arts Organization Public Health Organization University Artist Hospital/Specialty Medical Center Medical Office/Clinic/Outpatient Center University Medical School Long Term Care Facility/Community
Speaker Bio For Printed/Online Program:

0/1000
Speaker Headshot for Online Program:

Browse Files

Cancel of
Where have you presented in the last 2 years?:

0/500
Please provide a link to any online video featuring the proposed speaker:
Additional Presenters
Speaker #2 Bio for Printed/Online Program:

0/1000
Speaker #2 Headshot for Online Program

Browse Files

Cancel of
Speaker #3 Bio for Printed/Online Program:

0/1000
Speaker #3 Headshot for Online Program

Browse Files

Cancel of
Speaker #4 Bio for Printed/Online Program:

0/1000
Speaker #4 Headshot for Online Program

Browse Files

Cancel of
Diversity and Inclusion Information
Applicants are encouraged to share if they identify with one or more historically marginalized groups (examples include but are not limited to Immigrant, Indigenous, International, LGBTQIA, Person of Color, Person with Disability, Person of Size, Socioeconomic Disadvantage).
Accessibility Information
With NOAH's encouragement to apply for a conference scholarship if financial assistance is needed, are there any further accommodations that can be made for presenter(s) that would eliminate barriers to participation?
Proposed Presentation Information
Proposed Presentation Title:

0/500
Proposed Presentation Description:

0/500
Note to applicants: if chosen, presentations will be between 20-30 minutes in length. Applicants will be notified of their assigned time by the NOAH Conference Committee.
Presentation Focus Area:

Programming/Case Studies Arts and Social Equity The Value of Arts in Health Other
Learning Objectives (Required)

Include 3 learning objectives your presentation will cover. These bullet points should outline benefits for an attendee in this session. A clear connection between the conference theme and the presentation must be made.
1.

0/150
2.

0/150
3.

0/150
List the specific Code or Standard from NOAH's Code of Ethics and Standards for Arts in Health Professionals referenced in your presentation:
This session is geared towards:

Arts in Health Program Administrators Artists in Healthcare and Wellness Settings Academic Professionals/Students Healthcare Professionals Healthcare Administrators Architects & Designers Art Consultants Interior Designers
You will primarily be discussing:

Qualitative data Quantitative data
Preferred Day for Speaking:

Tuesday, September 22 Wednesday, September 23 Thursday, September 24
Other Submission Comments?

0/500
Should be Empty:

Presentation Proposal

Contact Information

Presenter Information

Additional Presenters

Diversity and Inclusion Information

Accessibility Information

Proposed Presentation Information