Membership Conference - Call for Programs

Title of Presentation

IMPORTANT! All oral presentations (CE Credit) must meet the requirements as identified in the link to the CE document provided by APA.

http://www.apa.org/ed/sponsor/resources/objectives.pdf

I agree to review and submit learning objectives based on this document.

Presenter Information*

IMPORTANT - PLEASE READ CAREFULLY!

Add at least one presenter.

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at the end of the row AFTER adding information for each presenter.

Presenter Name	APPIC Member Program Name	City	State

First Author Contact Email Address*

Select Your Preference:

Oral Presentation OnlyPoster Presentation OnlyConsider for Either Oral or Poster Presentation

Abstract*

500 word abstract

Learning Objective #1*

Type in "N/A" if this is for POSTER ONLY.

Learning Objective #2*

Type in "N/A" if this is for POSTER ONLY.

Learning Objective #3*

Type in "N/A" if this is for POSTER ONLY.

Learning Objective #4 (optional)

Describe how this presentation offers opportunities for interaction with or among the participants.*

Please describe how this presentation addresses diversity issues.*

References Terms

By checking this box I understand should the proposed oral presentation program be accepted, the presenter(s) must provide at least THREE references that demonstrate that the content of the program is supported by the literature relative to practice, education and/or science.

Presenter Agreement*

Do All Listed Oral Presenters Agree to Register and Appear at the APPIC Conference?

Poster Presenters require only one person Register and Appear at the conference.

YesNo

Submit