EmailMe Form - 2019 Convention Learning Session Late Proposal

Speaker Information

Name *

First Last

Title *

Email *

Phone *

### - ### - ####

Organization/Company *

Address *

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

Biographical Information *

Biographical information for each speaker is a continuing education requirement. This information will also be used in convention promotional materials and as an introduction onsite. Please provide this information in paragraph format. Bulleted lists, resumes, curriculum viate and other such formats are not acceptable and will be returned for re-write.

Will you have co-presenters? *

No

Yes

If "Yes" we will follow up with you for additional information.

Session Content

Session Title *

Session titles will help attendees determine which sessions to attend. Titles should describe, to the best extent possible in the text allowed, what the session will be about.

Session Description *

Please provide a description of what your session will cover in paragraph format. No bullet point lists, please. The description submitted here will be used in promotional materials and on the convention website. Convention attendees will also use this description to determine which sessions to attend. Please make it as descriptive as possible, within the character limit allowed.

Learning Objective #1 *

Learning objectives are a continuing education requirement and describe what attendees should be able to do as a result of attending your session. Each objective should begin with a verb to show actionable results. Please list the first learning objective for your session. Upon conclusion of this session, the learner will be able to...

Learning Objective #2 *

Please list the second learning objective for your session. Upon conclusion of this session, the learner will be able to...

Learning Objective #3 *

Please list the third learning objective for your session. Upon conclusion of this session, the learner will be able to...

Target Audience *

Please indicate whether your information is specific to SNF/NF or Senior Housing/AL/Home Care. Select All Audiences if your information applies to both settings. This will assist attendees in selecting the appropriate session for their work situation.

Audience Level *

Care Providers of Minnesota welcomes proposals for all experience levels; novice, intermediate, and advanced. However, many attendees are experienced professionals and we will give extra consideration to proposals focused on advanced sessions.

Target Professions (Please select all that apply) *

Session Timing

Session Length *

75 minutes (standard)

150 minutes (two-part)

Required Set-Up Time *

10-15 minutes

16-30 minutes

More than 30 minutes

The average time between learning sessions is 10-15 minutes. Please indicate how much time you need to set up for your presentation.

Engagement

Care Providers of Minnesota is committed to offering dynamic learning experiences at convention. We want presenters who will actively engage the audience and go beyond a lecture format. When attendees are engaged in the learning process, they are more likely to understand and remember what information is shared. There are many options one may use to engage attendees, case studies, small group discussions, polling, and open-ended questions, not to mention time for questions and answers.

Engagement Techniques *

Case Study

Facilitated Discussion

Interactive Roundtables

Small Group

Polling

Other (please elaborate in box to the right)

To create dynamic learning experiences, please indicate how the session will engage the audience.

Other

If you checked "Other" to the left, please describe how the presentation will be delivered.

Audio Visual Requirements

Care Providers of Minnesota provides the following standard AV for each room:

- LCD projector
- Screen
- Speaker's table with two chairs
- Podium with wired microphone
- Wireless (lavaliere) microphone
- Appropriate sound system
- Internet access

*PLEASE NOTE* Computers are NOT provided for any learning session. If you are using a PowerPoint (or other) slide show, you will need to bring your own computer for use with the provided LCD projector.

Special AV Requests

Sound amplification for laptop

Adapter for Mac laptop

Other (please elaborate in box to the right)

Any non-standard equipment must be requested in advance. We cannot guarantee all additional requests will be fulfilled; however, we will do our best to accommodate them.

Other

If you checked "Other" to the left, please describe your special AV request.

Notes

Please include any additional information, not covered above, that we may need to know for this proposal.