2018 Call for Presentations

2018 Call For Presentations-G

The 2018 OSSPEAC Fall Conference will be held October 21-23, 2018 at the Hyatt Regency, Columbus, Ohio. Please complete this form in its entirety and submit prior to April 30, 2018. If you have any questions, please contact OSSPEAC at 888-258-1032 or e-mail at info@osspeac.org. Thank you!

Primary Presenter Info

Primary Presenter will receive the contract and serve as the contact for this presentation.

Include job title, place of employment and include credentials related to topic. For example, please indicate if you have previously presented on this topic (i.e. locally, statewide, nationally), or if you have published or done research on this topic, or have taught courses or have clinical experience related to this topic.

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Additional Presenter Details

IMPORTANT: If you have additional presenter(s) for the presentation, they will need to complete a Financial/Non-Financial Disclosure Statement. Please email the following link to additional presenter(s) asking them to complete this information: http://www.osspeac.org/2018-additional-presenters-financial-disclosure/

Additional Presenter 1

Please include credentials after name.

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Additional Presenter 2

Please include credentials after name.

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Additional Presenter 3

Please include credentials after name.

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Additional Presenter 4

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Please send an e-mail to info@osspeac.org with bio information for any more additional presenters.

Presentation Details

OSSPEAC would like all presenters to review the information ASHA provides on The Principles of Evidenced-Based Continuing Education. ASHA CE's Evidence-Based CE Tutorial: https://www.asha.org/ce/for-providers/EBCETutorialIntro/

List title as you would like it to appear in the program and registration documents.

75-100 words describing your session. This will appear in the program booklet and online.

2-6 required for ASHA CEU's. Learner Outcomes are statements that identify for the learner what they can expect to achieve as a result of participating in a session. They should be participant-focused, and worded in measurable/ observable terms. Please take care to use measurable verbs (identify, list, create, etc.) in the outcome statements.

1-4 will be appropriate

Specific times will be listed in your contract when schedule has been finalized.

If you have indicated above that you have Financial or Non-financial relationships to disclose you must complete more info below. NOTE: If you have other presenters they will need to complete a disclosure also, please send them the following link: http://www.osspeac.org/2018-additional-presenters-financial-disclosure/

Financial Disclosures

If you indicated a financial relationship, please fill provide more information below

Financial Relationship Disclosure 1
Financial Disclosure 2
Non-Financial Relationship Disclosure
Audio/Visual Needs

Each presentation room will be equipped with a screen, LCD Projector, A-V Cart and Presenter's Lectern. Presenters are expected to bring their own laptop from which to present.

In order to provide the best amplification system possible for each presentation, please carefully consider and select from the options listed above.

Check all that apply.

Please indicate any additional requirements or information that has not yet been addressed.

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