
September 11 – 14, 2008
The Galt House Hotel & Suites
Louisville, KY
Items marked with an asterisk (*) are required for these additional applications. Missing or incomplete information may jeopardize the number or types of continuing education credits available to conference attendees.
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Speaker contact information
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Speaker disclosure/conflict of interest declaration* (If your presentation is accepted, you will be asked to sign an official speaker disclosure/conflict of interest declaration.)
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The primary audience level to which this proposal applies.
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Have you delivered this presentation before?
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Will you be submitting this proposal to other perinatal conferences?
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Presentation title (should be short but descriptive)*
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A brief (25-30 word) description of the presentation content*
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Detailed topic outline*
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Three to five measurable objectives describing the knowledge, skills, and/or learning outcomes that complete the sentence, "At the conclusion of this presentation, the participants will be able to..." The following are possible resources to help with writing the objectives: "Childbirth Education, Practice, Research and Theory" by Francine H. Nichols and Sharron Humenick, 2nd Edition pages 533-536 and "
Writing Educational Objectives" by Helen H. Baker, PhD, MBA.*
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Teaching methods and strategies for adult learning*
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Audio visual requirements
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Works cited - Provide up to 10 references in the
APA, 5th edition format. Seventy-five percent of the references must be current and published within the last five years*
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Post-test questions - Provide at least three questions in multiple choice or true/false format (with answers) directly related to the learning objectives. Only one of the answers you provide should be a correct answer*
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Will you have co-presenters? If so, you will need to provide their names and contact information.
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Would you be willing to repeat your session?
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Will you grant permission for audio and/or video taping of your session?
Lamaze International will audio and/or video tape all conference sessions. Understanding the advantages of this service to Lamaze International and its members, speakers are asked to give permission to make these recordings available for purchase to conference attendees, members of Lamaze International and use in a future Lamaze continuing education home study. Recordings of a speaker's remarks in no way deprives the speaker of the right for the material to be reproduced in printed, audio or video format.
Lamaze International offers Lamaze contact hours to conference attendees. Applications for continuing education credit are submitted to the following organizations as well: International Childbirth Educator Association (ICEA), American College of Nurse-Midwives (ACNM) and International Board of Lactation Consultant Examiners (IBLCE).
Please contact speakers@lamaze.org or call 800-368-4404 with any questions.