WVOTA 2023 Annual Conference Presentation Proposal
Please complete the following information regarding your presentation proposal for the 2023 WVOTA Annual Conference. Topics may include: General rehabilitation, vision, community participation, telehealth, adaptive technology, mental health, and emerging areas of practice. 

Forms are due by July 15, 2023. You will be notified by August 31st, 2023 of the status of your proposal.
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Email *
First and Last Name: *
Date Submitted: *
Content Focus (Please Indicate): *
Proposal Type: *
Session Title: *
Track (Please indicate): *
Level (Please indicate): *
Abstract: 40 words or less, intended for the conference guide *
Program Description: Should be well-written and organized. Includes the purpose, intent, methods, and content of the presentation. 300 words or less that capture the focus of the presentation. References are not included in the 300-word count. No author names, places of employment, or identifying information should be included in the description. *
Learning Objectives: Include 3 learning objectives participants are expected to meet during this presentation. *
References: List 3 references for your presentation. It is important that these are in APA format. *
Primary Speaker: *
Additional Speakers: *
Credentials: *
Speaker's Primary Responsibility: *
Contact Information (email and phone): *
Primary Employer: *
May we use your name for promotional purposes including on social media? *
Brief Bio (please include professional contributions to the field and years of practice here): *
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