Call For Presentations 2019 SJC Annual Conference (April 12)
Proposals will be accepted through January 31, 2019
Please note all sessions are one hour in length.
LILSA will notify you of your acceptance to present for this conference.
Please ensure you have the ability to present upon submission of this form.
Please note that if you have a preference to time of presentation LILSA will do it's best to accommodate you please note that in the last section called comments. There are instances where several people want the same time slot and making these accommodations can be very difficult and result is someone having to move their time.
Last Name *
Your answer
First Name *
Your answer
Email *
Your answer
Credentials *
Home Address *
Your answer
Address (Where you prefer correspondence) *
Your answer
Phone number *
Your answer
Email *
Your answer
Facility or Agency Name *
Your answer
Title of Session (Please note all sessions are one hour) 20 words or less Descriptive of Content and for Therapeutic Professionals must be related to NCTRC Job analysis. *
Your answer
Speaker Qualifications (Description of qualifications to present this topic, please note this is not your resume, which needs to be forwarded to lilsa.org upon submission of this form) *
Your answer
Instructional Methods (Please choose all that apply) *
Learning Outcomes
(Please provide 3)(Examples: Upon completion of this session participants will be able to Identify three benefits of..., Provide an example of..., Upon completion of this session participants will be able to demonstrate understanding of...,
Provide learning outcomes is this space. *
Your answer
Session Outline (Examples of outline are: Intro = 5 min, Outline of topics to be covered = 5 min Theory of Topic = 5 min, Application of theory = 5 min, Short quiz = 5 Min, Review of answers = 10 min, Break into groups for discussion = 15 min, Review of groups and questions = 10 min *
Your answer
Job Analysis (This section is for Therapeutic Professionals only) *
Comments: *
Your answer
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