Presentation Submission

Primary Presenter Information
First Name
Last Name
Organizational Affiliation
Position Title
Work Address
Work City
Work State/Province
Work Zip
Work Country
Work Email
Work Phone	Extension
FAX
Highest Earned Degree
Other Degrees
Other Credentials
Are You a Student?	Yes No
Are You a Current NACSW Member?	Yes No
Home Street Address (optional)
Home City (optional)
State/Province (optional)
Zip/Postal Code (optional)
Home Country (optional)
Home Phone (optional)
E-mail

How Did You Hear about this Call for Presentations? Name of Colleague or Publication?

Presentation Information

Title of Presentation
Primary Track	Direct Practice Faith of the Social Worker Community Organizing and Development Social Work Administration and Policy Social Work Education Rural Social work
I would like my Presentation to be considered for one or more of the following Formats:	Workshop Presentation For examples of workshop sessions, go to: Workshop Examples Poster Presentation Presenters summarize their presentation information in visual representations for attendees to browse and to facilitate more informal discussion. NACSW will provide easels, and recommends that poster presenters bring information mounted on poster boards and/or handouts. For examples of poster sessions, go to: Poster Examples Either a workshop presentation or a poster presentation I understand that selecting this option increases the chances of my proposal being selected.
If I am interested in my proposal being considered for a workshop presentation, I would prefer the following Length of Time for that session	I would prefer presenting for the full 90 minutes I would prefer splitting this 90 min. session with another presenter(s) Either the full 90 minutes or sharing the session would work for me NACSW will make every effort to accommodate the length of time you have recommended for your workshop session, although it reserves the right to make the final decision regarding the session's length based on the needs of the overall workshop program.
Presentation Level	Basic (Students and BSW level) Intermediate (MSW level) Advanced (LCSW or LICSW level)
Primary Audience (Please check off no more than two)	Social Workers Church Leaders Educators Students General Audience
NACSW will provide a data projector (for PowerPoint presentations) and a screen for all presenters at no cost. We are not be able to provide laptop computers, so please bring your own laptop if you wish to use the data projector in the workshop room for your presentation. If you want to request any other equipment for your presentation, please contact the hotel AV department directly and make arrangements with them at your own cost.

Presentation Abstract (50 words or less - will be used to describe presentation in convention program if proposal is accepted):

Presentation Description (250-500 words - please DO NOT identify yourself or any of the other presenters, but do include the presentation title):

Learning Objectives (that is, what presenters will learn as a result of participating in this session - for sample learning objectives, go to the bottom of the page at http://www.nacsw.org/Convention/Examples.htm):

Short Bio Information: Please provide a few sentences about each submission presenter that can be used to help convention participants get to know you (and any co-presenters, if applicable):

Second Presenter (if applicable)
First Name
Last Name
Organizational Affiliation
Position Title
Work Address
Work City
Work State/Province
Work Zip
Work Country
Work Email
Work Phone	Extension
FAX
Highest Earned Degree
Other Degrees
Other Credentials
Are You a Student?
Are You a Current NACSW Member?
Home Street Address (optional)
Home City (optional)
State/Province (optional)
Zip/Postal Code (optional)
Home Country (optional)
Home Phone (optional)
E-mail

Provide similar contact information for any other presenters in the box below.

NACSW's conference niche is in providing information and trainings that focus on integrating faith with some aspect of social work practice. As such, we look primarily though not exclusively to recruit submissions that include an integrative component consistent with NACSW's Statement of Faith and Practice. If your submission represents an alternative perspective, please note this on your proposal so that if it is accepted, we can indicate in the convention program listing.

Presenters Agreement - by submitting the above proposal, I signify my agreement to the following:

If my presentation proposal is accepted, I agree to be present at NACSW's Convention 2009 in Indianapolis, Indiana, to register (at my own expense at the usual convention rate) by no later than October 1, 2009, to make my presentation at the time selected by the Convention 2009 planning committee, and to provide my own handouts at no expense to the convention. I understand that if I do not register for the convention by October 1, 2009, my presentation may be removed from the convention workshop program.