Mideastern Symposium on Therapeutic Recreation

CALL FOR PAPERS
Please have your resume ready to upload! After submitting this form you will be taken to a 2nd page where you will be able to upload your resume(s).
Speaker 1:
Speaker Title:
Email:
Address:
City:
State:
Zip:
Work Phone:
Home or Cell Phone:
Fax:

Speaker 2:
Speaker Title:
Email:
Address:
City:
State:
Zip:
Work Phone:
Home or Cell Phone:
Fax:

Title of Session: Limit 65 characters. Title should be descriptive of the session.

Session Description: (30 word max. Please note: If your proposal is accepted the information contained here will appear “as is” in the brochure)

Session Learning Objectives: Must be measurable and indicate what the participant will learn. Please code to NCTRC Job Analysis Knowledge Area codes: (A: Background, B: Diagnostic Grouping and Populations Served, C: Assessment, D: Planning the Intervention, E: Implementing the Individual Intervention Plan, F: Documentation and Evaluation, G: Organizing and Managing Services, H: Advancement of the Profession)

(1) CODE(S): Press the CTRL key & Mouse to select more than one item.
OBJECTIVE 1:

(2) CODE(S): Press the CTRL key & Mouse to select more than one item.
OBJECTIVE 2:

(3) CODE(S): Press the CNTRL & Mouse key to select more than one item.
OBJECTIVE 3:

Target Audience: (Select as many as apply)

Therapist/Specialist
Manager/Supervisor
Educator
Student

Session Length:

90 minutes
180 minutes

Detailed Description or Outline of Session: (Limit to 400 words. Please describe the content of the session and the method(s) used for presentation. This will help the program committee determine acceptance of the session so please be detailed in your description)

AV Equipment: (Limit 2, excluding flip chart)

Slide Projector and Screen
Overhead Projector and Screen
TV/ VCR
Flip Chart
** The Mid-Eastern Symposium does not provide laptop computers and LCD projectors. This equipment must be provided by the speaker. **

Room Set Up:

Auditorium
Classroom Style

Other- Describe:

Additional Requests or Special Needs: (Please be specific):

Press the Continue Button below and be prepared to submit your resume(s) with this form.

It is the policy of the Mid-Eastern Symposium to waive ONE speaker registration per session.

Submission deadline:
September 7, 2007

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