Presentation Category (check all that apply): *
Poster
Pediatric SLP Session
Adult SLP Session
Pediatric Audiology Session
Adult Audiology Session
Professional Issues Session
Technical Session
Other
Pre-Recorded Virtual Session - not offered live

Proposal TITLE (10 words or less): *

Time Requested: *
30 minutes
60 minutes
90 minutes
More than 90 minutes
Poster Session
Virtual Session - 30 minutes
Virtual Session - 60 minutes

Is your proposal a hands-on workshop?: *
Yes
No

Abstract Form:

The Abstract is a brief description of your proposal, in 75 words or less, that will be used (if accepted) in the online program planner and in the program book distributed onsite. Abstracts are not edited and are published as submitted, so make sure you proofread your work carefully.

Expected Learner Outcomes are required by ASHA for continuing education credit. They should provide a foundation for developing the course's format, content and assessment tool; Inform the participant what he/she is expected to do as a result of the learning event; and Assist potential participants in determining if the course is appropriate for their level of knowledge and skills. Be sure to state learning outcomes in clear, concise, measurable and observable terms.

Expected Takeaways are required by OSHA. They should describe ideas/activities/techniques that attendees will learn from your session and be able to incorporate into their practices the following week. "Following this session, attendees will be able to..."

Please upload your ABSTRACT. In the same document, include a list of 3 EXPECTED LEARNER OUCOMES and 3 EXPECTED TAKEAWAYS. (pdf, doc or docx files accepted): *
(Valid File Types: bmp,csv,doc,docx,eps,gif,jpeg,jpg,mfp,pdf,png,ppt,pptx,rft,swf,tif,txt,xls,xlsx | Maximum File Size : 10.0 MB)

Instructional Level: *
Introductory
Intermediate
Advanced
Varied

Primary Presenter Contact Information:

Name and Credentials: *

Employer, Job Title and City: *

Mailing Address, City, ST & Zip: *

Email Address: *

Mobile Phone Number with Area Code: *

Work Phone Number with Area Code: *

Will there be more than one presenter? : *
Yes
No

Additional Presenter Names:

Presenter(s) Biographical Information:

 

Please upload a single document with a one paragraph biography (50 words or less) for each presenter. Be sure to include full name, credentials, employer, job title, and city. (pdf, doc or docx files accepted): *
(Valid File Types: bmp,csv,doc,docx,eps,gif,jpeg,jpg,mfp,pdf,png,ppt,pptx,rft,swf,tif,txt,xls,xlsx | Maximum File Size : 10.0 MB)

For oral presentations only. Please provide a time ordered agenda. Ex: 3 minutes: 3 minutes: Introduction and disclosure 5 minutes: purpose of the workshop 10 minutes: procedures 7 minutes: clinical implications and take-home message 5 minutes: conclusion Q & A:

If your submission is not accepted as an oral presentation, would you be willing to present it as a recorded, on-demand virtual presentation?:

I acknowledge that if my submission is accepted and I attend the conference for continuing education credits, I WILL be required to pay the regular registration fee.: *
Yes, I acknowledge this statement.

Submit