AzATA Symposium Proposal Submission
Please complete the following questions to submit your presentation proposal for the 2019 Summer Symposiums.
Email address *
Name: *
Contact phone number *
Presentation Title: *
Name of Presenter(s) including credentials: *
Applicable Domains *
Required
Level of Difficulty *
Presentation Type (Lecture, Lab, etc..): *
Total estimated presentation time. Please specify time for lecture and lab individually, if applicable: *
Abstract (with minimum of 2-3 learning objectives): *
Abstracts should be no more than 450 words and must include 1) a description of the educational need or practice gap that the presentation will address (i.e. What isn’t the AT doing that they should be doing? What doesn’t the AT know that this program will provide them? ), 2) the primary content areas that will be presented, and 3) the overall goals or learning objectives of the presentation. Learning objectives must be measurable. Common verbs for learning objectives include: illustrate, distinguish, evaluate, describe, develop, apply.
Disclosure of Conflicts of Interest
Please identify any potential or actual conflicts of interest and financial gain associated with any program or presenters. The purpose of a program cannot be the promotion of goods and services to the participants. If conflicts exist, they must be disclosed here and at the beginning of the presentation on a slide. If none, skip question.
Would you consider submitting for Evidence Based Practice (EBP) category CEU's? *
Special Equipment or Space Needs
Please list any special equipment or presentation/lab space needs that you might have
Please upload a copy of your current CV *
Required
A copy of your responses will be emailed to the address you provided.
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