PRESENTATION APPLICATION

Open each section and fill out the information requested. Hit submit when completed.

  • PRESENTATION INFORMATION

    PRESENTATION INFORMATION

    Presentation Title *

    Format *

    Course Level (Choose only one and be as accurate as possible.) *

    Target Audience (mark all that apply) *

  • PRESENTATION DESCRIPTION

    PRESENTATION DESCRIPTION

    Presentation Style *

    Please describe the presentation style. You are encouraged to include demonstration and skills practice as well as lecture.

    Presentation Summary and Abstract *

    Summary for publication in event program. Must be an accurate representation of presentation content and detailed enough to pique attendee interest. In addition, upload a longer more detailed abstract.

    Longer Abstract * upload document

    Subject Matter References *

    Provide a minimum of three (3) relevant references and/or a statement addressing either established research or peer-reviewed, published support for your topic.

    Learning Objectives *

    Provide a minimum of three (3) learning objectives. They must be specific and measurable and written in behavioral terms such as list, identify, apply, analyze, compile, differentiate, describe, and assess (Avoid using know, understand, learn, appreciate, become aware of, or become familiar with).

    Timed Outline *

    Upload document

    Powerpoint Slides (Rough drafts are acceptable. If not using slides, leave blank.)

    Upload file

  • AUDIO/VISUAL

    AUDIO/VISUAL

    Every room will have a podium, projector, screen and slide advancer. Please answer the following regarding your computer and microphone needs. For panels, one table per 2 people is provided. Wifi is not provided. Please contact us if that is necessary.

    What computer will you use for your Powerpoint presentation? *

    Does your Powerpoint presentation have video/sound? *

    How will your presentation be conducted? *

    Please provide more detail on how your presentation will be conducted (optional):

    Do you require a microphone for each presenter? (We try to accommodate microphone requests but there may be technical limitations.) *

    Please describe any other Audio/Visual needs (optional):

  • PRIMARY PRESENTER

    PRIMARY PRESENTER *

    This person is responsible for communicating FMHAC correspondence to co-presenters. If your presentation is accepted, the primary presenter will be given complementary attendance to the conference unless otherwise indicated.

    First Name *

    Last Name *

    Credential(s) *

    Agency/Institution *

    Position *

    Mailing Address *

    Mailing City *

    Mailing State *

    Mailing Zip *

    Phone *

    Email *

    Upload Documents

    Biography *

    Curriculum Vitae (CV) *

    Disclosure form *

    Download disclosure form

    Presentation References *

    Please give at least three (3) references for previous presentations. You may also upload evaluations of previous presentations.

    Previous evaluations (optional) upload document

  • 2ND PRESENTER (optional)

    2ND PRESENTER (optional)

    First Name

    Last Name

    Credential(s)

    Agency/Institution

    Position

    Mailing Address

    Mailing City

    Mailing State

    Mailing Zip

    Phone

    Email

    Upload Documents

    Biography *

    Curriculum Vitae (CV) *

    Disclosure form *

    Download disclosure form

    Presentation References

    Please give at least three (3) references for previous presentations. You may also upload evaluations of previous presentations.

    Previous evaluations (optional) upload document

  • 3rd PRESENTER (optional)

    3rd PRESENTER (optional)

    First Name

    Last Name

    Credential(s)

    Agency/Institution

    Position

    Mailing Address

    Mailing City

    Mailing State

    Mailing Zip

    Phone

    Email

    Upload Documents

    Biography *

    Curriculum Vitae (CV) *

    Disclosure form *

    Download disclosure form

    Presentation References

    Please give at least three (3) references for previous presentations. You may also upload evaluations of previous presentations.

    Previous evaluations (optional) upload document

  • NOTIFICATIONS

    NOTIFICATIONS *

Prove you're not a robot *