Presentation Proposal 23rd Annual MnATSA Conference April 10-12, 2019, Minneapolis Marriott Northwest, Brooklyn Park, Minnesota All forms must be received by October 15, 2018 Complete the following forms by typing the data into the gray boxes, which will expand to accept your responses. The following information will be used as application for Continuing Education Credits and parts will be used in the Conference Brochure and Conference Program, so it is important that each part be completed. Save the completed document with a new name by adding your name to the document title. E-mail this newly named document to 4mnatsa@gmail.com Workshop Information (All workshops are 90 minutes. When preparing your workshop, please remember that participants are expecting it to be geared to the specific areas and information you give in this proposal.) TITLE OF WORKSHOP: ABBREVIATED ABSTRACT for REGISTRATION BROCHURE (2-5 sentences in length with enough information so that a person can make a decision about attending the workshop. Will it be advanced enough or too advanced, relevant to their interest, what they will learn more about, etc.) Abbreviated abstract: Level of Workshop (check only one): Basic Advanced Topic Population Child Adolescent Adult All Ages (choose 1): Workshop Designed to Teach Practice skills Present original research (check all that apply): Type of Workshop Clinical Research Supervision Re-entry (check all that apply): The following information will be used in the Conference Program as your contact information, description of your workshop, etc. Please ensure this is complete and accurate. Please enter your WORK address, phone and e-mail rather than your personal contact Only the lead presenter in each workshop will information as this will be printed in the program. receive a 50% discount on their registration. All additional presenters must register and pay full price if they wish to attend the conference. Lead Presenter: First Name Last Name Degree(s) Organization: Address: City State Zip Telephone: e-mail:
Presentation Proposal 23rd Annual MnATSA Conference April 10-12, 2019, Minneapolis Marriott Northwest, Brooklyn Park, Minnesota All forms must be received by October 15, 2018 Complete the following forms by typing the data into the gray boxes, which will expand to accept your responses. The following information will be used as application for Continuing Education Credits and parts will be used in the Conference Brochure and Conference Program, so it is important that each part be completed. Save the completed document with a new name by adding your name to the document title. E-mail this newly named document to 4mnatsa@gmail.com Workshop Information (All workshops are 90 minutes. When preparing your workshop, please remember that participants are expecting it to be geared to the specific areas and information you give in this proposal.) TITLE OF WORKSHOP: ABBREVIATED ABSTRACT for REGISTRATION BROCHURE (2-5 sentences in length with enough information so that a person can make a decision about attending the workshop. Will it be advanced enough or too advanced, relevant to their interest, what they will learn more about, etc.) Abbreviated abstract: Level of Workshop (check only one): Basic Advanced Topic Population (choose 1): Child Adolescent Adult All Ages Workshop Designed to (check all that apply): Teach Practice skills Present original research Type of Workshop (check all that apply): Clinical Research Supervision Re-entry The following information will be used in the Conference Program as your contact information, description of your workshop, etc. Please ensure this is complete and accurate. Please enter your WORK address, phone and e-mail rather than your personal contact information as this will be printed in the program. Only the lead presenter in each workshop will receive a 50% discount on their registration. All additional presenters must register and pay full price if they wish to attend the conference. Lead Presenter: First Name Last Name Degree(s) Organization: Address: City State Zip Telephone: e-mail: