Workshop Presentation Proposal Form

Presentation Title *

One-sentence description *

Presenter’s Name *

Presenter’s Title *

Presenter’s Organization *

Presenter’s Email *

Presenter’s Cell Phone *

Co-Presenters

Presentation abstract *

Learning Objectives

List 4 Learning Objectives

Learning Objective 1 *

Learning Objective 2 *

Learning Objective 3 *

Learning Objective 4 *

Is your presentation directed to a specific language group? * Yes No

Are you willing to present the same presentation more than once over the two days? * Twice on Day 1 Once on Day 1 & once on Day 2 Only Once

Areas of interest * Interpreting Skills Ethics Medical Terminology Technology Other

Presentation level/Target Audience * Level 1 (0-5 years of experience) Level 2 (5-10 years of experience) Level 3 (10+ years of experience) Specialized A&P

Multiple or single choice * 60 minutes 90 minutes

Learning Objectives

Sections

Programs

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