AuDacity 2017: Request for Seminar Proposals

Audiologists and other professionals are encouraged to submit instructional seminar proposals for AuDacity 2017 , scheduled for September 25-27, 2017, at the Mohegan Sun Casino & Resort in Uncasville, Connecticut. The ADA Education Committee will review all proposals and select a limited number of presentations that will provide an innovative educational program for the attendees. Please complete this form using Sentence Case text.

IMPORTANT: This unprecedented educational event is focused on Building the Audiology Practice of the Future. The committee seeks unique and insightful proposals on clinical audiology topics, audiology business topics and hearing technology topics, which are innovative and forward thinking. Strong preference will be given to original proposals that have not been delivered at other conferences.

SUBMISSION DEADLINE: January 31, 2017.


Speaker Information (i.e. yourself)

Note: These fields are REQUIRED
Prefix:
First Name:
Last Name:
Designation:
Job Title:
Company:
Address 1:
Address 2:
City:
State:
Zip:
Country:
E-Mail Address:
Day Phone:
Cell/Evening Phone:
Fax:
Are you an ADA Member?
Yes No

This is a new seminar proposal and I do not intend to deliver the same presentation at another event.
Yes No

I am the sole presenter
Yes No


Speaker Education Background/CV

Provide a description of your professional background, education and information on your previous experience as a presenter. Please limit to 100 words. Note: These details will be used to assist in session selection and introductory comments.

Speaker Background: (Please limit to 100 words)


Co-Speakers

Co-Speaker 1
First Name:
Last Name:
Title:
Company:
Day Phone:
Email Address:
Speaker Education & Background: (Please limit to 100 words)


Co-Speaker 2
First Name:
Last Name:
Title:
Company:
Day Phone:
Email Address:
Speaker Education & Background: (Please limit to 100 words)


Co-Speaker 3
First Name:
Last Name:
Title:
Company:
Day Phone:
Email Address:
Speaker Education & Background: (Please limit to 100 words)


Presentation Information

Presentation Style:
Presentation Title:
Course Length:
Instruction Level:

Abstract:

Please type a maximum 100 word abstract of your presentation for promotional materials. This should clearly communicate the session content.

Abstract: (Please limit to 100 words)

Outcomes:
Please list at least three (3) learning outcomes for the Presentation
1st Learning Outcome:
2nd Learning Outcome:
3rd Learning Outcome:
Please describe how this presentation will assist audiologists in building a successful practice in the future.

Presentation Outline:

Provide a more detailed outline of your presentation, and briefly describe each of the topics you intend to cover in the presentation. Where possible, please address each of the following areas: (Limit 500 words.)

  • Statement of the topic or issue: State specifically what topic or issue you will be addressing during your session.
  • Description of activity, project, or solution: This is the core of your proposed presentation and might include such things as: historical background; participation expected from attendees; who was/is involved with the project; examples of what it took to analyze and define problems and solutions; methods used to work toward solutions, and so on.
  • Outcomes: Where applicable, present your outcomes and achievements. Did you accomplish what you set out to do? In addition to anecdotal evidence, include quantitative examples of how your project resolved a problem or issue. It's important to talk about the successes and failures, especially in respect to what you learned from either.
  • Importance or relevance to attendees and (where applicable) to other organizations. Attendees will want to know how the work you did will apply to them and their solutions. Describe ways in which other organizations might benefit from your findings.
Outline: (Please limit to 500 words)



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