Ottawa, Ontario | May 7-9, 2020
Deadline for receipt of all program submissions: September 30, 2019 by 12 midnight PDT
Use the following form to submit your proposal. You will have an opportunity to print a copy of your completed submission, and will be assigned a confirmation code for future reference.
You must have read the Instructions and Conditions for Acceptance prior to completing this form.
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
Contact Name
Contact E-mail
Contact Organization
Address
Address Line 2
City
Province Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Postal Code
Telephone (office)
Telephone (home)
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
Speech-language pathology assistants
Students
What age group(s) does this session pertain to? Please check all that apply.
Pre-school (0-4)
School-aged (5-17)
Adult (18-64)
Geriatric (65+)
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
Last Name
First Name
Initial
Primary Presenting Author at Conference Yes
Credentials
Organization/Employer
Primary E-mail
Street Address
Office Telephone
Home Telephone
Second Author
Third Author
Fourth Author
Fifth Author
Sixth 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