EmailMe Form - ABSTRACT SUBMISSION: Hearing Voices Congress 2013

Abstract Title *

Main contact person *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

If you do not have a postcde pleae enter 9999

Email *

You will contacted via this email should we have any questions regarding your submission and to notify you if you have been successful.

Confirm email

Secondary Email

If we experience any difficulties with the above email, we shall try to contact you on this email. Otherwise this email will not be used.

Work phone number

Home phone number

Mobile phone number

Plesase provide at least one contact number

Job or position title (if applicable)

Organisation (if applicaple)

Affiliations (if applicable)

Is the presenter affiliated with any organisations or groups. (This field is optional.)

Second presenter
(if applicable)

First Last

Job or position title (if applicable)

Organisation (if applicable)

Affiliations (if applicable)

Contact Email

Country

Third presenter
(if applicable)

First Last

Job or position title (if applicable)

Organisation (if applicable)

Afilliations (if applicable)

Contact Email

Country

Fourth presenter
(if applicable)

First Last

Job or position title (if applicable)

Organisation (if applicable)

Affilliations (if applicable)

Contact Email

Country

Details of fifth & subsequent presenters (if applicable)

Presentation Title: *

Congress Themes *

Understanding the meaning in madness

Opening new doors for families, friends & carers

A new era in collaborative consumer leadership

Learning together, inviting curiosity

Innovative research & practice

Pleasse tick which of the Congress themes your Abstract aligns with

Preferred presentation format *

Key word #1 *

Key word #2 *

Key word #3 *

Please select 3 key words from the Abstract submission guidelines that best apply to your presentation.

Abstract (max 250 words) *

Please describe your presentation here. This information will be used both for the selection of abstracts and (if successful) in the final congress program.

Presenter #1 Bio
(max 80 words) *

Please provide a brief biography of the speaker listed first above.

Presenter #2 Bio
(if applicable - max 80 words)

Presenter #3 Bio
(if apoplicable - max 80 words)

Presenter #4 Bio
(if applicable - max 80 words)

Bio for 5th & subsequent speakers (if applicable)

Please explain how your presentation is your presentation innovative & exciting? (max 150 words) *

Please describe how your presentation is respectful of diverse views or positions or how it will appeal to a broad audience (max 150 words) *

Have you presented this presentation previously - if so where & when?

Do you consent to your presentation slides (if used) being made available to congress delegates? *

Yes

No

Not applicable

Do you consent to the audio or audio/visual recording of your presentation? *

Yes

No

Does your presentation include at least one person with lived experience of hearing voices or caring for a family member of friend who hears voices? *

Voice hearer

Carer or family member

Both

No - we bring other perpectives to the congress

This is not obligatory but is strongly encouraged.

Would you also like your Abstract to be considered for a poster session? *

Yes

No

Only if Abstract is not successful

Please refer to the congress website for details on Poster sessions. Posters will be available for all congress delegates to see, whilst abstracts will be in concurrent sessions, and only heard by some of the congress attendees.

I/we have read & agree to the Terms & Conditions for Abstract submissions *

Yes - all presenters agree to the Terms & Conditions

If more than one presenter, all presenters MUST agree to the Terms & Conditions - as stated on the congress website. It is the responsability of the main presenter to ensure this consent is obtained prior to submission.