MSHA Call for Papers 2012
MSHA Annual Conference March 22-24, 2012 ~ The Radisson Plaza Hotel,
Kalamazoo, Michigan
MSHA ~ 790 W. Lake Lansing Rd., Suite 500-A ~ East Lansing, Michigan 48823 ~ FAX: 517/ 332-5870 msha@att.net www.michiganspeechhearing.org
Title of Proposal:_______________________________________________________________________
1st Author (include credentials):_____________________________________________________________
Employer:________________________________________________________________________________
Preferred Mailing Address:___________________________________________________________________
City, State & Zip:___________________________________________________________________________
Email address:_______________________________________ Work Phone:(_____)_____________________
Home Phone:(______)_________________ ASHA Member MSHA Member Student
2nd Author (include credentials):____________________________________________________________
Employer:________________________________________________________________________________
Preferred Mailing Address:___________________________________________________________________
City, State & Zip:___________________________________________________________________________
Email address:_______________________________________ Work Phone:(_____)_____________________
Home Phone:(______)_________________ ASHA Member MSHA Member Student
If there are additional authors, please provide this information on an additional sheet. All correspondence, including notification of acceptance or rejection of proposal will be sent to the First Author. Include a brief vita or biographical information for each author.
Session Type: / /Short Course (3 hours) / /Double Mini-Seminar (2 hours) / /Miniseminar (1 hour)
/ /Grand Rounds or Panel Discussion (1 hour) / /Poster Session (1 hour) / /Student Poster Session (1 hr)
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: / /LCD Projection for Power Point Presentation
Note: MSHA will not provide laptops. Please contact MSHA if you need assistance locating other AV equipment.
Abstract of Proposal: Summarize content of presentation and include as many details as necessary. This description will be included in the Program Book. Limit abstract to a maximum of 125 words. Attach an additional sheet, or if emailing, send an attachment if desired.
Please complete Page 2
MSHA Call for Papers 2012
Page Two
Proposal Title:___________________________________________________________________________
Content Area: Please indicate strand and then circle areas that apply:
Medical Speech-Language Pathology: Dysfluency Voice Disorders Alaryngeal Speech Dysphagia Child Language Neurogenic Speech, Language & Cognition Disorders Pediatric services Geriatric Services. Other:_______________________________________________________
Professional Issues: Ethics Outcomes Public Policy Training Issues Regulatory Issues Supervision Evidence Based Practice Diversity Issues Counseling
Other:__________________________________________________________________
Public School Speech-Language Pathology: Voice Disorders Dysphagia/Oral Motor Law/Monitoring Phonological & Articulatory Disorders Autism Spectrum Disorders
Assistive Technology Child & Adolescent Language Disorders Augmentative Alternative Communication Aural Rehab PI or OHI or TBI LD and other Concomitant Disabilities Fluency Other:__________________________________________________________________
Hearing Impairment: Aural Rehab Cochlear Implants Educational Audiology
Hearing Conservation Auditory Verbal Therapy
Other:__________________________________________________________________
Instructions: Submit 1 copy of this Call for Paper to the MSHA Office by November 1, 2011. See the MSHA address on the top of the 1st page. You can also submit on-line: www.michiganspeechhearing.org Please attach any additional sheets, author biographical info including degree, certification, expertise, professional title.
If accepted, your session description and biographical info will be printed in conference materials exactly as it appears in your submission. While the MSHA office will make every attempt to edit for consistency, we are not responsible for author errors. Presenters at the MSHA Annual Conference are required to submit a Conference Registration Form and Fee in order to ensure a place in the Program.
Authors will be contacted regarding acceptance approximately 4 weeks after the deadline.
NOTE: Students must have advisors review and sign paper submissions. The deadline for Student
Submissions is January 23, 2012.
Faculty Advisor:__________________________________________________ Date:____________________