ISHA Convention Poster Session - Call for Submissions
ISHA Poster Presenters,

Thank you for your proposal to present a poster at the Iowa Speech-Language-Hearing Association (ISHA) 2018 Convention, occurring October 25-26 in Iowa City, IA. In preparing to select presenters, we ask you to please complete the following by Friday, July 6:

1) The questionnaire below, containing information that will be used to complete ASHA’s Activity Report Form and will be submitted to ASHA’s Continuing Education Board for approval, should you be selected.

2) Review the linked document regarding writing learner outcomes. https://www.isha.org/images/stories/Convention_2018/FAQs.pdf

3) The linked form regarding disclosure information, and return via mail, fax, or scanned and emailed at the address listed on the first page of the disclosure form. Link to disclosure form - https://www.isha.org/images/stories/Convention_2018/DisclosureForm.doc

Questions? Please feel free to contact ISHA's VP of Continuing Education/CE Administrator, Elisa Green via email or telephone. Email: greenelisan@sau.edu / Phone: (563) 333-3929

What is the title of your poster? *
Your answer
Author 1 Information - Please provide the following: Name, Affiliation, Credentials. *
Your answer
Author 1 Contact Information - Please provide email AND telephone. *
Your answer
Please provide a short presenter bio for Author 1. *
Your answer
Will Author 1 be presenting this poster at the ISHA Convention? *
Are there additional authors for this poster? *
Author 2 Information - Please provide the following: Name, Affiliation, Credentials.
Your answer
Author 2 Contact Information - Please provide email AND telephone.
Your answer
Please provide a short presenter bio for Author 2.
Your answer
Will Author 2 be presenting this poster at the ISHA Convention?
Author 3 Information - Please provide the following: Name, Affiliation, Credentials.
Your answer
Author 3 Contact Information - Please provide email AND telephone.
Your answer
Please provide a short presenter bio for Author 3.
Your answer
Will Author 3 be presenting this poster at the ISHA Convention?
Author 4 Information - Please provide the following: Name, Affiliation, Credentials.
Your answer
Author 4 Contact Information - Please provide email AND telephone.
Your answer
Please provide a short presenter bio for Author 4.
Your answer
Will Author 4 be presenting this poster at the ISHA Convention?
Author 5 Information - Please provide the following: Name, Affiliation, Credentials.
Your answer
Author 5 Contact Information - Please provide email AND telephone.
Your answer
Please provide a short presenter bio for Author 5.
Your answer
Will Author 5 be presenting this poster at the ISHA Convention?
Provide a brief, 1 paragraph description of the research or project. *
Your answer
Please provide numbered Learner Outcomes. Information about writing outcomes is included in the document linked at the top of this form. *
Your answer
Who would be interested in this presentation? Select all that apply. *
Required
What is the instruction level of your poster presentation? *
Submit
Never submit passwords through Google Forms.
This form was created inside of Diversified Management Services. Report Abuse - Terms of Service