Apraxia Kids National Conference Speaker Application 2

First Name *

Last Name *

Email *

Proposed title of your presentation (15 words or less): *

Abstract (50 words or less): *

Full description (1000 words or less): *

Please list 2-3 learning outcomes that your audience will take away from your presentation: *

Please list the strategies you will use to delivery your presentation (PowerPoint, panel discussion, hands-on activities, etc.): *

Please list current supporting research references used to create your presentation (articles, books, etc.). A minimum of 3 is required. *

Preference for length of session: *

My presentation is a panel discussion (has more than 3 presenters total and/or contains audience and presenter(s) discussions such as looking at case studies or problem solving around an issue). *

Yes

No

My presentation best fits into the following topic strand, click all that apply: *

The content level of my presentation is: *

The target audience of my presentation is: *

We encourage speakers to pre-record their session by June 14 so that virtual attendees have a variety of sessions to watch. Please choose one of the options below to indicate how you plan to present your session: *

Present in-person only in Pittsburgh, PA

Present in-person in Pittsburgh, PA AND pre-record my session for virtual viewing

Pre-record my session for virtual viewing by attendees ONLY and not attend in-person

I can present in-person at the following times (Please select all that apply) *

Friday Morning

Friday Afternoon

Saturday Morning

Saturday Afternoon

Does your presentation have co-presenters? *

Yes

No

Please list your co-presenter(s) and their email(s): *

Part 2: Presentation Details

About Apraxia

Useful Information

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