Authors

For multiple authors, list the person who will present the paper as first author.  All correspondence, including notification of acceptance or rejection of proposal will be sent to the first author.  

First Author:

Name:
Affiliation:
Address:
City, State & Zip:
Email Address:
Daytime Phone:
ASHA Member          MSHA Member          Student

Second Author:

Name:
Affiliation:
Address:
City, State & Zip:
Email Address:
Daytime Phone:
ASHA Member          MSHA Member          Student

Third Author:

Name:
Affiliation:
Address:
City, State & Zip:
Email Address:
Daytime Phone:
ASHA Member          MSHA Member          Student

Fourth Author:

Name:
Affiliation:
Address:
City, State & Zip:
Email Address:
Daytime Phone:
ASHA Member          MSHA Member          Student

Please list additional authors below using the same format:

Session Type:

Short Course (3 hours)
Double Mini-Seminar (2 hours)
Mini-Seminar (1 hour)
Grand Rounds or Panel Discussion (1 hour)
Poster Session (1 hour)
Student Poster Session (1 hour)

Instructional Level:                 Introductory            Intermediate             Advanced

Learning Outcomes: (e.g., participants will learn....)

Assessment of Learning Outcomes: (e.g., pre-test, post-test, etc.)

AV Equipment:

The following AV equipment will be provided.  Anything other than what is listed below, you must provide yourself.  If you need assistance locating other AV equipment, please contact the MSHA office.           

LCD projection for PowerPoint presentation  MSHA will not provide laptops.     
Video recorder and monitor

Please type ABSTRACT OF PROPOSAL below (not to exceed 125 words):

Content Area:

Authors will be contacted regarding acceptance approximately 4 weeks after the deadline.