Insert tblPresentationSubmission

15th INTERNATIONAL CONFERENCE

Click 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.
Click here for sample

OBJECTIVES*
2- 3 (4-5 objectives required for 4 hour Post-Conference sessions)
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OUTLINE*
SUBMIT an OUTLINE of your presentation. The outline should include all identifying information, such as names and affiliations of presenters. Please include 3 levels of detail.
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Summary*
PREPARE A 300-WORD SUMMARY of your presentation that discusses the content of your presentation. The following should be included in your summary: Click here for sample

Presentation Title
Main Points to be covered in your presentation
Relevance to conference attendees
Intended audience
How the session is unique from others if you have presented at one of our prior conferences.

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!)

We encourage use of handouts, videos, powerpoint, and experiential activities.

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!