2016 WORKSHOP SPEAKER & PRESENTATION INFORMATION FORM

Please return this form to

40th Annual AMERSA National Conference
November 3-5, 2016
Fairmont Hotel – Georgetown, Washington, DC

Speaker(s)Name(s) & Degree(s):______

Please list ONLY those names who will be presenting at the conference.

Title of Presentation: ______

Educational Objectives of your presentation

Key points when writing learning objectives:

  • Use verbs that are action oriented and can be observed
  • Use only one action verb per objective
  • Focus on the learner outcome, not the instructor approach
  • Be sure the objective can be measured within the time frame of the continuing education activity
  • Use objectives that relate to the content and the teaching method

Examples of terms to AVOID: Understand, Know, Enjoy, Remember, Think, Be familiar with, Comprehend, Appreciate, Be interested in

At the conclusion of this presentation, participants should be able to:
1.
2.
3.

AUDIOVISUAL SET-UP (WORKSHOP PRESENTATION)

Please indicate below the room set-up you prefer, and any additional audiovisual equipment you will need for your presentation.

Room Set-Up (Check One):

______General session (theater style)

______Classroom style

______U Shape configuration

______Conference

______Other (please be specific): ______

Audiovisual Needs:

Each room will be preset with an LCD projector and screen.

(DUE TO THE HIGH COST OF COMPUTER RENTALS, WE ASK THAT ALL PRESENTERS PLEASE PROVIDE THEIR OWN COMPUTER)

______Yes, I will be able to provide my personal computer

______No, I will be unable to provide my personal computer

Please indicate below if you require additional AV materials:

______Podium

______Podium Microphone

______Wireless Microphone

______Flip Chart, Markers

______Easel

______Laser Pointer

______None of the above. I will be using my own equipment. Please indicate exact type of equipment you will be using.

Please indicate below any AV questions you may have.

(You must bring a copy of your presentation on a flash drive, formatted for a pc.

______