Speaker Name *

Email Address *

Required entries with every submission*

EDUCATIONAL OBJECTIVES - PLEASE SUBMIT BY FEBRUARY 1

The SSRF Education Committee requires all presenters to submit objectives for each topic.  Objectives are not expected to be exhaustive.  They should make clear the knowledge, skills or attitudes that will be gained by the participant.  Please provide 2-3 objectives for each presentation as a prelude to the presentation and any handouts.  These objectives will also be used in our grant request applications and in the program.

Title of Presentation 1: 

Upon completion of this lecture/workshop/panel, the participant should be able to:

1)

2)

3)

Title of Presentation 2: 

Upon completion of this lecture/workshop/panel, the participant should be able to:

1)

2)

3)

Title of Presentation 3: 

Upon completion of this lecture/workshop/panel, the participant should be able to:

1)

2)

3)

In an effort to focus our funding efforts, please assist us by listing companies that might find your topic(s) of interest and might want to support the meeting financially:

AUDIO VISUAL REQUIREMENTS - I will need the following equipment for my presentation(s):

LCD Projector/Wireless Remote/Laser Pointer

One 35mm slide projector

Two 35mm slide projectors

Video Player - 1/2" tape

Video Player - 3/4" tape

Overhead Projector

Whiteboard and markers, colors:

Flip chart and markers, colors:

Other AV needed:

I require only voice amplification OR  my presentation(s) will include sound beyond my oration.

I will be presenting via Microsoft Power Point and have NO integrated video in my presentation(s) (a laptop will be provided)

I will be presenting via Apple Keynote or other software (speaker must provide laptop to run onsite)

I have integrated video into my presentation file (speaker must provide laptop to run onsite)

HANDOUTS

It is highly encouraged that you supplement your presentation slides with supporting documents, articles, research results, etc.  We must have your handouts by the date above so that we have ample time to prepare the attendee curriculum packets in which your handouts will be inserted. 

I will mail a CD of my handouts by FEBRUARY 1 to SSRF - 6134 Poplar Bluff Circle, Suite 101, Norcross, GA  30092.

I will email my handouts by deadline above to alice@theassociationcompany.com

FINAL PRESENTATION

If you are using Microsoft Power Point and your presentation has NO integrated video, please mail us a copy of your final presentation(s) on CD ahead of the meeting.  Allowing the AV technician to have the presentations pre-loaded on our laptop ensures fewer delays and the meeting running on time.

I will mail a CD of my final presentation(s) by FEBRUARY 1 to SSRF - 6134 Poplar Bluff Circle, Suite 101, Norcross, GA  30092

I will email my presentation(s) by deadline above to alice@theassociationcompany.com