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INTERNATIONAL CONFERENCE CALL FOR POSTER SUBMISSIONS

Submissions due NO LATER THAN July 31, 2013
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)

Summary*
PREPARE A ONE PAGE 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.

PRESENTATION TYPE (Check one)*

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.

TIME*

First Choice:
Second Choice:

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.
CULTURAL/HISTORICAL TRAUMA: An event or series of events initiated by a dominant group and directed towards a targeted group. The result is a loss of collective identity, historical significance and overall sense of value. Examples include the Armenian Genocide, Transatlantic slave trade, American Indian Holocaust and Jewish holocaust of WWII..
OTHER EMPHASIS (100 Characters Maximum)

CO-AUTHORS NOT ATTENDING/PRESENTING

Yes N/A Disregard this Section!

PLEASE CHECK DAYS YOU CAN PRESENT IF SELECTED!*
Yes No  
9/08 (Main Conference)
9/09 (Main Conference)
9/10 (Main Conference)
9/11 (Main Conference/Post Conference)
PRESENTERS
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)*
Audio/Video Permissions
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 a PDF version of my handouts available online for attendees 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!