PRESENTATION PROPOSAL
Proposals submitted prior to the deadline will be considered for inclusion and applicants will be notified of the decision by January 15.
Name
*
First Name
Last Name
Credentials / Title
Agency / Organization
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Fax
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
Confirmation Email
example@example.com
Will you have a co-presenter?
*
Yes
No
Presentation format:
*
Traditional (Typically includes a talk or media presentation followed by a short discussion/ Q&A)
Hands-On (Participants provided the opportunity to engage in teaching activities and interactive discussion)
Presentation Level:
*
Basic - suited for everyone regardless of experience, knowledge, or education
Intermediate - suited for individuals with some relevant experience, training, or education
Advanced - suited for professionals with more extensive experience, training, or education
Presentation Audience:
*
Professionals
Parents
Professionals & Parents
Interest Area / Topic
*
Presentation Title
*
Summary (50 words or less) for inclusion in conference program - please use clear and engaging language
*
3 clearly stated learning objectives:
*
Presentation description and outline:
*
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Presenter Resume/CV (required for each presenter)
*
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Please use the space below for any comments or questions. Thank you.
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