KSHA Convention Registration

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Kentucky Speech-Language-Hearing-Association
838 East High Street, Suite 263, Lexington, KY 40502
800-837-2446 888-729-3489 fx

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KSHA's Mission
The mission of the Kentucky Speech-Language-Hearing Association is
to enhance the provision of quality services to
persons with communication disorders and their families. KSHA accomplishes
this by providing broad-based education opportunities, public awareness and policy development initiatives and by supporting professionals in speech-language pathology and audiology by promoting the highest standards for service providers

2012 KSHA Convention Call for Papers

February 15-18, 2012
Kentucky International Convention Center
Louisville, KY

Deadline for Submissions: September 1, 2011

Carefully read all instructions before completing and submitting this form. (Note: Failure to follow instructions may result in rejection of the proposal.) Questions can be directed to the KSHA Office.

Please fill out completely. Primary correspondence will be through email, please provide accurate contact information for this purpose. If you have questions regarding your submission, contact the KSHA Office at kshaoffice@ksha.info or 800-837-2446.

KSHA's policies for accepting papers:
The Convention Committee will be guided in the selection of the pages by quality, distribution on subject matter, timelines, content, popular demand, program balance, and broad-based membership participation. Presenters must present in the time period and format assigned by the Convention Committee. Proposals that are incomplete or do not follow the guidelines will be returned to the primary presenter for completion or correction. KSHA does not accept late submissions. Please observe all deadlines.

If your proposal is accepted:
The appropriate Convention Chair will notify you of interest in your topic promptly and will discuss days/times of your presentation. Chosen presenters will receive a "Memorandum of Understanding" confirming the details of their presentation (s).

All presenters are required to register and pay the appropriate convention registration fee to participate in functions and attend sessions.

Handout Information:
In the interest of defraying some of the expense associated with presenting at the convention, KSHA will be posting presenter's handouts to the website two weeks prior to the convention.

Handouts must be sent in an electronic format to the KSHA Office.

Omit unnecessary images and photos. Include only those relevant to the topic. If your presentation contains a large number of images resulting in a large file, we may find it necessary to convert your handouts to text only.

Handouts are limited to 20 pages.

Forward handouts to kshaoffice@ksha.info no later than December 15, 2011. Handouts will be posted online two weeks prior to the convention.

If selected, information from your proposal will be used in printed material provided at the convention. Please keep this in mind as you complete the following information and be as accurate as possible.

Please complete the following form and submit (via the website) by September 1, 2011.

Session Information

Title of Proposal:
(Do not exceed 100 characters)

Contact Info:
(Contact person for notification of proposal and convention details.)
*Indicates required field.

*Contact Name:

*Email:

Street Address:

City:

State: Zip:

Phone:

Session Parameters:

Content Area:

Instructional Level:

Type:

Audiovisual Equipment Needs:

MAC Users - Please note that AV companies are equipped for PCs. If you are planning to use a MAC with an LCD projector, you must bring the appropriate cords to adapt your MAC to the PC LCD cords.

Refer to Requirements for Submission for audiovisual requirements. All AV requests are subject to approval by the Convention Committee. Approval of AV requests will be provided in the Presenter Confirmation Notification. AV is not provided for poster presentations. Lap Tops are not provided for any presentations.

Type of Computer being used:

MAC users - please read and acknowledge the following:
I am aware as a MAC user I am responsible for bringing the appropriate adaptor cords.

Additional Session Information:

Day(s) and or time(s) you cannot present:

Title of any other presentation(s) submitted:

Program Abstract:
(Maxium of 250 words)

Learning Outcomes:
At the culmination of this session, participants will be able to: (Provide at least 3 outcomes (2 required), refer to Learner Outcomes. Please note that failure to provide proper learner outcomes could result in ASHA not approving your session for ASHA CEUs. Please refer to the guidelines above.)

1.

2.

3.

4.

Authors/Presenters:

For additional authors, complete a second form and include only the additional authors, title of proposal, and indication in the Program Abstract field that the submission is for additional authors.

Author/Presenter 1

First Name:

Last Name:

Credentials:    Other Credential:
(To select more than one degree/credentials, hold down the Ctrl button while making your selections.)

Affiliation:

Bio:

Order to be listed in program:

Author Not Attending the Convention:

Author/Presenter 2

First Name:

Last Name:

Credentials:    Other Credential:
(To select more than one degree/credentials, hold down the Ctrl button while making your selections.)

Affiliation:

Bio:

Order to be listed in program:

Author Not Attending the Convention:

Author/Presenter 3

First Name:

Last Name:

Credentials:    Other Credential:
(To select more than one degree/credentials, hold down the Ctrl button while making your selections.)

Affiliation:

Bio:

Order to be listed in program:

Author Not Attending the Convention:

Author/Presenter 4

First Name:

Last Name:

Credentials:    Other Credential:
(To select more than one degree/credentials, hold down the Ctrl button while making your selections.)

Affiliation:

Bio:

Order to be listed in program:

Author Not Attending the Convention:

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