Title of Proposal

Not to exceed 10 words

Does this presentation include any research which resulted from an SAC Clinical Research Grant?

Yes No

Primary Contact

Person to be notified of committee’s action on proposal

Type of Session Requested

Paper presentation (45 minutes)

Mini-seminar presentation (90 minutes)

Poster presentation

Alternate Type of Session

If preferred session is not possible

I will not present in any other format.

I will present in the following format(s):

Presentation Rating

Please rate your presentation based on the following descriptions. This rating will assist delegates in making a decision on which presentations/workshops to attend.

Introductory
Assumes little or no familiarity with the literature and professional practice within the areas covered

Intermediate
Assumes general familiarity with the literature and professional practice within the areas covered

Advanced
Assumes thorough familiarity with current literature and professional practice

Target Audience

Who is the intended audience for your session? Please check all that apply.

Speech-language pathologists

Audiologists

Speech-language pathology assistants

Audiology assistants

Speech and hearing assistants

Students

What age group(s) does this session pertain to? Please check all that apply.

Pre-school (0-5)

School-aged (6-17)

Adult (18-64)

Geriatric (64+)

Language of Presentation

English French

Audiovisual Equipment Requirements

The following standard equipment will be available for all paper presentations and mini-seminars: a microphone, LCD projector, and screen. Presenters must provide their own laptop computer for their presentations.

Indicate any special equipment essential to your presentation not listed above. Requests for special audiovisual equipment must be justified. There can be no guarantee that your request will be granted; however, SAC will make every effort to ensure that the equipment is available should the paper be accepted.

First Author

Presenter’s Biography

Please attach curriculum vitae for the first author (DOC, DOCX, RTF or PDF).

Abstract

No more than 100 words

Summary

No more than 400 words

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