16th International Conference Call for Submissions

INTERNATIONAL CONFERENCE CALL FOR SUBMISSIONS

Submissions due NO LATER THAN February 10, 2012
Click "INSERT" once All Fields with a red * are completed.
Click here for Detailed Instructions and Printable PDF Form.
Questions/Comments/Issues email Dave at: websupport@ivatcenters.org

TITLE OF PRESENTATION*
(no more than 10 words)

ABSTRACT*
SUBMIT a 50-WORD ABSTRACT of your presentation to be published in the program if accepted. Click here for sample

OBJECTIVES*
Submit 2-3
Click here for sample

OUTLINE*
SUBMIT an OUTLINE of your presentation. The outline should include all identifying information, such as names and affiliations of presenters. Please include 3 levels of detail.
Click here for sample.

Summary*
PREPARE A 300-WORD SUMMARY of your presentation that discusses the content of your presentation. The following should be included in your summary: Click here for sample

Presentation Title
Main Points to be covered in your presentation
Relevance to conference attendees
intended audience
How the session is unique from others if you have presented at one of our prior conferences.

WORKSHOP: Presentations that are didactic and offer practical experience to help participants increase their understanding and skill in a particular area, topic or program. Usually conducted by 1-4 individuals and tends to be experiential in nature, and more in-depth. (Usually 1.5 - 3 hours)
PANEL: Usually 3-4 people for an overall session topic; each individual discusses a particular subject matter in relation to that overall topic; integrated perspectives on related topics, or several components of a research project. (Usually 1.5 hours)
RESEARCH OR PROGRAM PRESENTATION: An original piece of research, program description, or other presentation in lecture format. (Usually 25 - 45 minutes)
POSTER: Information on a particular piece of original research or a program and informal discussion of your visual display on a large poster board during the Poster Session.
VIDEO PRESENTATION: Showing of a video followed by discussion by presenters/producers during the video sessions.

ALL: Appropriate for all audiences, beginning through advanced.
BEGINNING: Appropriate for attendees as an introduction to a topic.
INTERMEDIATE: Appropriate for attendees who already have basic information on a topic and have been in the field 5 - 10 years.
ADVANCED: Appropriate for attendees who have worked in the field for over 10 years and are experienced.

First Choice:
Second Choice:

CONFERENCE TRACKS*

Choose the top 2 tracks that best define the topic you plan on presenting. Your presentation will be placed in a specific track depending on how you categorize it, so please choose carefully.

First Track:
Second Track:

*Underserved Populations (Elders, People with Disabilities, LGBTQQI, People of Color

AREAS OF EMPHASIS (Check all that apply)

ADVANCED CLINICAL TRAINING: Presentations of applied clinical techniques for skill building for advanced practitioners.
ADVOCACY/POLICY/PREVENTION: Presentations that deal with prevention and/or individual, system and community advocacy strategies that focus on social change and policy development.
APPLIED RESEARCH: Presentations of current research and ways to apply research in a clinical or other practical setting within the specified population. Translation of research into practice. Area of emphasis will be considered for the NPEIV research summit.
BASIC/STUDENT LEVEL TRAINING: Presentations designed as an introduction to a topic.
CONTROVERSIAL/CRITICAL ISSUES/DIFFICULT DIALOGUES: Presentations that are controversial in nature or are currently being debated in the field.
CULTURAL DIVERSITY: Presentations the emphasis culture and/or Lesbian, Gay, Bisexual and Transgender, Queer, Questioning issues within a track topic.
EVIDENCE-BASED/PROMISING PRACTICES: Presentations of intervention or prevention practices and/or programs that are innovative and empirically supported in the field.
FAITH/SPIRITUALITY: Presentations that have a faith or spirituality focus for a topic within a track.
SUBSTANCE ABUSE: Presentations that discuss substance abuse issues within a track topic.
COMPASSION IN ACTION: Presentations that discuss compassion fatigue, relationship between lack of compassion/empathy and abuse, or elements of resilience/ fostering resilience.
OTHER EMPHASIS (100 Characters Maximum)

CO-AUTHORS NOT ATTENDING/PRESENTING

Yes	No	SHOULD A SIMILAR PRESENTATION BE SUBMITTED FOR CONSIDERATION, WOULD YOU BE WILLING TO TAKE PART IN A PANEL DISCUSSION OR JOINT SESSION?*

PLEASE CHECK DAYS YOU CAN PRESENT IF SELECTED!*

Yes	No
		9/09 (Main Conference)
		9/10 (Main Conference)
		9/11 (Main Conference)
		9/12 (Main Conference/Post Conference)

We encourage use of handouts, videos, powerpoint, and experiential activities.

List only the presenters that intend to come to the conference.

The Primary Presenter will be used as the contact person for this submission.

PRIMARY PRESENTER:
Title*	Mr. Mrs. Ms. Dr.
First Name*		Last Name*
Highest Degree*		Professional License (if applicable)
Degree Field*		Degree Year (YYYY)
School*		Affilliation
Email*	This address will be used for acceptance decision
Profession*		Cell Phone#
Work Phone#*		FAX#
Home Phone
Mailing Address*
City*		State*
Zip Code*		Country*
Current Employer, Work Address, and email
One page bio or biosketch for the primary presenter (focus on experience related to the presenter submission and any prior speaking or teaching experience)*

Terms of Agreement
I give my permission to be audio and/or video recorded during the conference.
I give my permission to have my presentation converted to PDF format.
I give my permission to have my handouts available for the public on the IVAT website after the event.
I understand that IVAT does not make hard copies of my handouts.
I give my permission for use of my photo, taken during the conference, for future event promotion.

2ND PRESENTER:
Title	Mr. Mrs. Ms. Dr.
First Name		Last Name
Highest Degree		Professional License (if applicable)
Degree Field		Degree Year (YYYY)
School		Affilliation
Email
Profession		Cell Phone#
Work Phone#		FAX#
Home Phone
Mailing Address
City		State
Zip Code		Country
Current Employer, Work Address, and email
One page bio or biosketch for the primary presenter (focus on experience related to the presenter submission and any prior speaking or teaching experience)

3RD PRESENTER:
Title	Mr. Mrs. Ms. Dr.
First Name		Last Name
Highest Degree		Professional License (if applicable)
Degree Field		Degree Year (YYYY)
School		Affilliation
Email
Profession		Cell Phone#
Work Phone#		FAX#
Home Phone
Mailing Address
City		State
Zip Code		Country
Current Employer, Work Address, and email
One page bio or biosketch for the primary presenter (focus on experience related to the presenter submission and any prior speaking or teaching experience)

4TH PRESENTER:
Title	Mr. Mrs. Ms. Dr.
First Name		Last Name
Highest Degree		Professional License (if applicable)
Degree Field		Degree Year (YYYY)
School		Affilliation
Email
Profession		Cell Phone#
Work Phone#		FAX#
Home Phone
Mailing Address
City		State
Zip Code		Country
Current Employer, Work Address, and email
One page bio or biosketch for the primary presenter (focus on experience related to the presenter submission and any prior speaking or teaching experience)

Press INSERT to Submit!