2008 APSE Conference: Presentation Proposal
Presentation title:
Lead presenter name:
Agency:
Email:
APSE membership #:
Address:
Phone:
Fax:
Biography (max. 200 words):
Resume/CV:
Co-presenter #1 name:
Agency:
Email:
APSE membership #:
Address:
Phone:
Fax:
Resume/CV:
Co-presenter #2 name:
Agency:
Email:
APSE membership #:
Address:
Phone:
Fax:
Resume/CV:
Co-presenter #3 name:
Agency:
Email:
APSE membership #:
Address:
Phone:
Fax:
Resume/CV:
Target audience:
(check all that apply)
(check all that apply)
Consumers
Families
Direct service
Management
Administrators
Advocates
Researchers
Training and technical assistance providers
Employers
Other Please specify:
Families
Direct service
Management
Administrators
Advocates
Researchers
Training and technical assistance providers
Employers
Other Please specify:
Type of session:
Lecture with questions and answers
Panel discussion
Cracker barrel/open discussion
Other Please specify:
Panel discussion
Cracker barrel/open discussion
Other Please specify:
Session length:
30 minutes
60 minutes
90 minutes
60 minutes
90 minutes
Theme track:
Presentation abstract (max. 150 words) for the conference program:
Presentation description (max. 500 words) that expands the information in the abstract,
to be used for evaluating your proposal:
Learning objective 1:
Learning objective 2:
Learning objective 3:
Learning objective 4:
Learning objective 5: