Kentucky Speech-Language-Hearing Association
Call for Papers & Speaker Data Form
2010 Conference on Communication Disorders
February 24-27, 2010  Lexington, KY
Submission Instructions:

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 you can contact Margaret Miracle: E-mail margaretmiracle@bellsouth.net or cell: (606) 273-5093.

Presenter's Name & Credentials:
First Name:  Last Name: Credentials:

Mailing Address:

City: State: Zip:

Cell Phone: Alternate Phone:

Fax:   Email: 

Place of Employment:

Co-Presenter's Name & Credentials:
First Name:  Last Name: Credentials:

Note: Communication will be through the primary presenter only.

Invited Speaker?      Who were  you invited by?

 

 Check all that apply:

    KSHA Member 
    Conference Exhibitor 
    Professional in related field 
    Previous Conference Speaker 

 

My Presentation is appropriate for:

    Adult SLP  
    Adult AUD  

    Peds SLP  
    Peds AUD  

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

Presentation Title: (Should reflect content in 15 words or less.)

Presentation Description: (Please summarize topic in 50 words or less.)

List prerequisites the Audience needs:

Learning Outcomes: Please indicate how participants will be able to demonstrate the knowledge you provide by using words such as describes, list, identify, explain, etc.  Do not use words such as "know" or understand".

Upon completion of this session, participants will be able to:
1.
2.
3.

Instructional Level:

Presentation Format:

Mini Seminar
 		 Intended to provide the audience with a report regarding clinical or research experience or other pertinent information relative to communication disorders and their remediation.
Short Course
 		 Intended to instruct the audience regarding current knowledge on specific communication abilities/disabilities, treatment and related issues.
Special Session
 		 Devoted to a single topic.
Poster Session Visual displays set up in an open area, representing clinical or research aspects of Speech-Language Pathology and/or Audiology.

Other Format: Outline your format in the space below. The program chair will contact you for details.

Please indicate the AV you require for your presentation:

NOTE: KSHA DOES NOT provide Laptop Computers or Internet access in session rooms.

I acknowledge that KSHA does not provide laptop or internet access in session rooms.

Please indicate the dates and times you are NOT available to present:

Time Ordered Agenda
Special sessions must total 60 minutes, mini seminars must total 90 minutes and short courses must total 195 minutes (including break)

Example:
Anatomy of swallowing:    
Assessment of dysphagia:
Break:
Treatment options:
Pediatric treatment:
Adult Treatment:
Q&A:
30 min
55 min
15 min
20 min
30 min
30 min
15 min
 

 Primary Presenter Biographical Sketch:

Co-Presenter Biographical Sketch:

KSHA's policies for accepting papers:
The Program 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.  Speakers must present in the time period and format assigned by the Program Committee.  Proposals which are incomplete or which to don't 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 Program Chair will notify you of interest in your topic promptly and will discuss compensation policies and days/times of your presentation. Chosen speakers will receive a "Memorandum of Understanding" confirming the details of their presentation (s).

Call for Papers Deadline is: August 1, 2009.


Handout Information:

Handouts: In the interest of defraying some of the expense associated with presenting at the conference, KSHA  will be posting presenter's handouts to the website prior to the Conference.  

  1. Handouts must sent in an electronic format to the KSHA Office.
  2. 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.
  3. Handouts are limited to 20 pages.
  4. Forward handouts to ksha@kysha.org no later than December 30, 2009.  Handouts will be posted online two weeks prior to the conference.