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Online Program Proposal Submission Form

Please provide the information requested below concerning your Program Proposal:
(All educational sessions for the Conference will be 1 hour, 15 minutes in length.)
Thank you.

A.	Title of Presentation:

B.	Presentation Category: (e.g., case study, model programs, panel discussion, research presentation, etc.)


C.	Lead Presenter’s Information:
	Name:
	Title:
	Institution:
	Address:
	Office phone:
	Home phone:
	Fax:
	Email:

D.	Co-presenter’s Information:
	Name:
	Title:
	Institution:

E	Audio Visual Requests: (Please note: the Conference Committee will take all requests into consideration. Once all needs have been defined each presenter will be contacted to verify availability of specified AV equipment. Thank you.)

F.	Program Abstract: (Please provide a short description (75 words or less) of your proposed educational session that can be used as a program abstract in the Conference brochure. Thank you.)


G.	Program Summary: (Please provide a more thorough description of your proposed program presentation. This summary can include a discussion of the program’s larger context, purpose, and/or rationale for this program; also your program goals, questions to be examined, strategies to shared, etc. Thank you.)