EmailMe Form - 2018 Abstract Application Form

Primary Author:

Title:

Organization:

Address

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

Phone (with area code first):

Fax:

Email:

Website:

Co-author(s) Name(s):

Brief Biography (30-50 words about the presenter(s)/organization that can be used in brochure).

Session Title:

Intended Audience

Max. number of participants

Type of Abstract:

Workshop

Panel Presentation

Workshop Track:

Education & Advocacy Building

Advocacy & Public Policy

Wellness & Treatment

Learning Objective(s) of Workshop:
(What do you intend participants to gain from attending this workshop?)

Description of Workshop: (50-120 words) Please attach any handouts, notes, or other visual aids that will be used during the workshop.

Equipment Needed: (NOTE: Presenters must provide their own laptops.)

We cannot always guarantee all the equipment required for sessions; therefore we need to know if the above equipment is essential for your session to take place:

Yes

No

The Unity Through Diversity Conference Committee will have the final decision in the selection of workshops and presentations for the 2018 Conference. All applications must be postmarked on or before June 15, 2018.