spacer

15th International Conference on Violence, Abuse & Trauma
CALL FOR P0STER SUBMISSIONS


Submissions due NO LATER THAN June 30, 2010Submissions due NO LATEFebruClick the "INSERT" button once All Fields with a red * are completed.
Click here for a word Form that you can fill out and email to Dave@friesmiller.com

TITLE OF PRESENTATION*
(no more than 10 words)

ABSTRACT*
SUBMIT a 50-WORD ABSTRACT of your presentation to be published in the program if accepted. Click here for sample
PRESENTATION TYPE (Check one)*

POSTER: Information on a particular piece of original research or a program and informal discussion of your visual display on a large poster board during the Poster Session.
AUDIENCE LEVEL (Check one)*

ALL: Appropriate for all audiences, beginning through advanced.
BEGINNING: Appropriate for attendees as an introduction to a topic.
INTERMEDIATE: Appropriate for attendees who already have basic information on a topic.
ADVANCED: Appropriate for attendees who have worked in the field for several years.
TIME*

First Choice:
Second Choice:
CONFERENCE TRACKS*

Choose the top 2 tracks that best define the topic you plan on presenting. Your presentation will be placed in a specific track depending on how you categorize it, so please choose carefully.
First Track:
Second Track:

AREAS OF EMPHASIS (Check all that apply)

ADVANCED CLINICAL TRAINING: Presentations of applied clinical techniques for skill building for advanced practitioners.
ADVOCACY/POLICY/PREVENTION: Presentations that deal with advocacy and/or prevention strategies for the track topic or is policy making oriented.
APPLIED RESEARCH: Presentations of current research and ways it can be applied in a clinical or other practical setting within the specified population.
CONTROVERSIAL/CRITICAL ISSUES/DIFFICULT DIALOGUES: Presentations that are controversial in nature or are currently being debated in the field.
CULTURAL DIVERSITY: Presentations the emphasis culture and/or Lesbian, Gay, Bisexual and Transgender issues within a track topic.
EVIDENCE-BASED/PROMISING PRACTICES: Presentations of intervention or prevention practices and/or programs that are innovative and empirically supported in the field.
FAITH/SPIRITUALITY: Presentations that have a faith or spirituality focus for a topic within a track.
SUBSTANCE ABUSE: Presentations that discuss substance abuse issues within a track topic.
OTHER EMPHASIS (100 Characters Maximum)

CO-AUTHORS NOT ATTENDING/PRESENTING (Names only please!)

Yes No SHOULD A SIMILAR PRESENTATION BE SUBMITTED FOR CONSIDERATION, WOULD YOU BE WILLING TO TAKE PART IN A PANEL DISCUSSION OR JOINT SESSION?*

PLEASE CHECK DAYS YOU CAN PRESENT IF SELECTED!*
Yes No  
9/12 (Workshop)
9/13 (Main Conference)
9/14 (Main Conference)
9/15 (Main Conference/Post Conference)
We encourage use of handouts, videos, powerpoint, and experiential activities.
PRESENTERS
List only the presenters that intend to come to the conference.
The Primary Presenter will be used as the contact person for this submission.
PRIMARY PRESENTER:
Title* Mr. Mrs. Ms. Dr.
First Name* Last Name*
Highest Degree* Professional License (if applicable)
Degree Field* Degree Year - 4 characters only (YYYY)
School* Affilliation
Email*
This address will be used for acceptance decision
Profession* Cell Phone#
Work Phone#* FAX#
Home Phone
Mailing Address*
City* State*
Zip Code* Country*
Current Employer, Work Address, and email
One page bio or biosketch for the primary presenter (focus on experience related to the presenter submission and any prior speaking or teaching experience)*

2ND PRESENTER:
Title Mr. Mrs. Ms. Dr.
First Name Last Name
Is this Presenter attending??
 Is this Presenter a Co-Author?
Highest Degree Professional License (if applicable)
Degree Field Degree Year - 4 characters only (YYYY)
School Affilliation
Email
Profession Cell Phone#
Work Phone# FAX#
Home Phone
Mailing Address
City State
Zip Code Country
Current Employer, Work Address, and email
One page bio or biosketch for the primary presenter (focus on experience related to the presenter submission and any prior speaking or teaching experience)

3RD PRESENTER:
Title Mr. Mrs. Ms. Dr.
First Name Last Name
Is this Presenter attending??
 Is this Presenter a Co-Author?
Highest Degree Professional License (if applicable)
Degree Field Degree Year - 4 characters only (YYYY)
School Affilliation
Email
Profession Cell Phone#
Work Phone# FAX#
Home Phone
Mailing Address
City State
Zip Code Country
Current Employer, Work Address, and email
One page bio or biosketch for the primary presenter (focus on experience related to the presenter submission and any prior speaking or teaching experience)

4TH PRESENTER:
Title Mr. Mrs. Ms. Dr.
First Name Last Name
Is this Presenter attending?? Is this Presenter a Co-Author?
Highest Degree Professional License (if applicable)
Degree Field Degree Year - 4 characters only (YYYY)
School Affilliation
Email
Profession Cell Phone#
Work Phone# FAX#
Home Phone
Mailing Address
City State
Zip Code Country
Current Employer, Work Address, and email
One page bio or biosketch for the primary presenter (focus on experience related to the presenter submission and any prior speaking or teaching experience)

Press INSERT to Submit!