California Association for Health Services at Home
Speaker
Information Packet
Annual Conference & Home Care Expo
May 10-12, 2011
Ontario Convention Center
Ontario, California
TABLE OF CONTENTS
Page
Deadline Dates 3
Section 1 – General Information
Travel Information/Hotel Lodging/Conference Site 4-5
Handout Information 6
Section 2 – Speaker Forms
1. Presentation Information 7
2. Speaker Information 8
3. Audio Visual 9
4. Permission to use and Reproduce Copyrighted Materials 10
5. Permission to Record and Reproduce 11
6. Tips for Effective Power Point Presentations 12
7. Faculty Conference Registration Form 13
DEADLINE DATES
The following list of deadlines is provided for your convenience. Please make every effort to adhere to the deadline dates below. They are set with the goal in mind of completing preparations for the conference in a timely fashion and will benefit both faculty and the participant. Thanks for your cooperation.
ITEM DATE DUE SENT
Letter of Agreement December 17, 2010 ______
Presentation Information February 25, 2011 ______
Speaker Information February 25, 2011 ______
Audio Visual February 25, 2011 ______
Permission to Reproduce Copyright Materials February 25, 2011 ______
(If applicable)
Permission to Record and Reproduce February 25, 2011 ______
Faculty Conference Registration Form February 25, 2011 ______
Handouts March 16, 2011 ______
HOTEL/TRAVEL INFORMATION
Travel: You are responsible for making your own travel arrangements and costs. We suggest that you try to make your reservations as early as possible for lower/discounted fares.
Air Travel: Ontario International Airport (ONT)
2900 E. Airport Drive, Ontario, CA 91761, Phone: (909) 937-2700
Airlines providing air passenger service at ONT include: Southwest Airlines www.southwest.com, United Airlines www.united.com, United Express www.united.com, US Airways www.usairways.com, Alaska Airlines www.alaskaair.com, American Airlines www.aa.com, Continental Airlines www.continental.com, Delta Airlines www.delta.com, Great Lakes Airlines www.greatlakesav.com, Aeromexico www.aeromexico.com. Ontario International Airport (ONT) is a medium-hub, full-service airport with commercial jet service to major U.S. cities and through service to many international destinations. ONT is located in the Inland Empire, approximately 35 miles east of downtown Los Angeles in the center of Southern California.
Airport Directions - 1.5 Miles South: (Hotel offers complimentary shuttle service to and from the Airport)
Archibald to 10 West. Exit Vineyard and turn left. Hotel is 1 block south on the left hand side.
On-Airport Care Rentals: Alamo: (909) 937-3600 www.alamo.com, Avis: (800) 331-1212 www.avis.com, Budget: (909) 937-6400 www.budget.com, Dollar: (909) 390-2438 www.dollar.com, Enterprise: (909) 460-0107, Hertz: (800) 654-3131 www.hertz.com, National: (909) 937-7555 www.nationalcar.com, Thrifty: (909) 988-8581 www.thrifty.com.
Ground Transportation: I-10 EAST OR WEST BOUND: Take the Vineyard Avenue exit. The hotel is on the south side of I-10 (one block south of the freeway) at the corner of Vineyard and Convention Center Way. The hotel is located approximately 35 miles East of I-5.
FROM HWY 60 EAST: Connect to I-10 East using Hwy 57 North. Take I-10 East to the Vineyard Avenue exit. The hotel is on the south side of I-10 (one block from the freeway).
FROM HWY 60 WEST: Connect to I-10 West using I-15 North.Take I-10 West to the Vineyard Avenue exit. The hotel is on the south side of I-10 (one block south of the freeway).
FROM I-15 NORTH OR SOUTH BOUND: Take the I-10 exit off of I-15. Take I-10 West to the Vineyard Avenue exit. The hotel is on the south side of I-10 (one block south of the freeway).
FROM HWY 57 NORTH OR SOUTH: Exit on to I-10 east bound. Take the Vineyard Avenue exit. The hotel is on the south side of I-10 (one block south of the freeway).
HOTEL LODGING: Doubletree Hotel Ontario t 222 North Vineyard Avenue t Ontario, CA 91764 t Phone: (909) 937-0900. For hotel reservations please call: 1-800-222-TREE (8733) - Ask for the CAHSAH rate of $121 Single/Double (plus tax). Hotel Reservation Deadline: April 15, 2011
Parking: The Doubletree Hotel Ontario has both self and valet parking available to our guests. Self parking is complimentary. Valet parking is $12.00. In and out privileges is available to all guests.
Conference SITE: Ontario Convention Center
2000 E. Convention Center Way t Ontario, CA 91764 t Phone: (800) 455-5755
HANDOUT INFORMATION
All power point presentations must be developed using the template provided by CAHSAH. All speakers are required to follow this guideline. No other format will be accepted. If you did not receive a template, please contact Richard Starks immediately at or (916) 641-5795 ext. 117.
All handouts will be posted on-line. Handouts must be submitted in an electronic (word, excel, or PowerPoint) format to Richard Starks using the template provided– no other formats will be accepted. If you will be co-presenting with someone else, please compile your handouts electronically and send them together at the same time. All handout materials must be sent to Richard Starks via email to no later than March 16, 2011. Faxed or hard copy material will not be accepted. We will be placing handout materials online for registered attendees to download and bring with them to the conference. If handout materials are not received by March 16, 2011, speaker will be responsible for the reproduction and shipping cost of handouts. You will be solely responsible for providing any materials to the participants that have not been submitted to CAHSAH by the deadline date. You understand that CAHSAH will not be able to produce any handout copies on-site during the conference or as follow-up after the conference. If you are unable to meet the specified deadline date, please call in advance and make other arrangements with Richard Starks. To confirm your consent to have your handouts available on-line for attendees to print out prior to the conference, please sign and return the enclosed Permission to Record and Reproduce form by February 25, 2011.
Speaker(s) must refrain from selling any materials or products or otherwise engaging in any promotional activity within the context of the lectures or sessions at which he/she is presenting. Speaker agrees that the content of this program will be completely educational and will not be a selling session for the speaker’s services, company organization or merchandise and will not place any logos on handouts.
For all handout materials we require uniformity:
· USE CAHSAH Conference power point template for presentation
· Use PC formats – Macintosh formats are not accepted
· Minimum font size and font to use is 28pt Times New Roman or Verdana font for PowerPoint documents.
· If using PowerPoint (and sending in PDF format), handouts should be set to be printed 3 slides with notes per page
· Please limit your use of animation
· Do not number the pages of your handouts
It is very useful for attendees to have an outline of your presentation and copies of your slides or overheads in advance so they can download from the CAHSAH website. This allows them to take notes that expand on your information rather than try to copy it all down. We also recommend that your handouts include a reference/resource page to help attendees locate the materials you refer to in your presentation, or where to look for more information on your topic. Whatever material you display, please have this also included in your electronic handout material.
Copyrighted Materials
CAHSAH speakers are solely responsible for the content of their oral, visual and written presentations. If you will be using any copyrighted materials, you must obtain permission to use and reproduce these materials. Copyrighted materials often include, but are not limited to: articles, books, newspapers, manuscripts, micro-fiche, and research data. Please use the Permission to Reproduce Copyrighted Materials form and send it to the copyright holder immediately. Send CAHSAH a photocopy of the form you send. The copyright holder’s response to your request should be mailed, faxed, or emailed directly to my attention at the CAHSAH office no later than February 25, 2011.
PRESENTATION INFORMATION
CAHSAH is an approved CEP (continuing education provider) through BRN (Board of Registered Nursing) and BBS (Board of Behavioral Sciences). In order to comply with the continuing education regulations, the program or course content must meet the following guidelines.
BRN (Board of Registered Nursing) / BBS (Board of Behavioral Sciences)Course content must be relevant to the practice of registered nursing and must be:
· Related to the scientific knowledge and/or technical skills required for the practice of nursing, or
· Related to direct and/or indirect patient/client care / Coursework must be related to the MFT’s/LCSW’s scope of practice and incorporate at least one of the following:
· Aspects of marital and family therapy or social work that are fundamental to the understanding or practice of marital and family therapy or social work;
· Aspects of marital and family therapy or social work in which significant recent developments have occurred; or
· Aspects of other related disciplines that enhance the understanding or practice of marital and family therapy or social work
Please fill out this form completely and return to CAHSAH no later than the deadline date. (Make Copies as necessary)
Session Title:
Summary: 5-6 Sentence Description of Presentation
Learning/Course Objectives: Please identify the course objectives which describes measurable behaviors or outcomes the attendees will demonstrate or achieve upon completion.
After successfully completing this session, participants should be able to:
1.
2.
3.
Post-Test: Please write three true/false questions based on the above summary and objectives. Be sure to include the correct answers below.
QUESTIONS
1.
2.
3.
ANSWERS
1.
2.
3.
Please also submit the following:
· Outline - A one-page outline which summarizes the main points of presentation. C.V./Resume
· A curriculum vitae or current resume.
SPEAKER INFORMATION
Contact Information for use in FINAL PROGRAM GUIDE
Please complete and/or correct the information below. Unless otherwise indicated, the following information will be used in the final conference program guide provided to all attendees.
Name and Degree(s):
Occupation Title:
Company Name:
Address:
Daytime Phone: Fax Number:
E-mail Address:
(Please check this box if you do not want your email address published.)
Home Phone*:
(* for use by CAHSAH staff in case of emergency only.)
Emergency Contact:
(Person’s name, relationship and phone number)
Please list other co-presenters:
Other Presenters:
Other Presenters:
Other Presenters:
Speaker Introduction – Bio
Please provide a brief introduction for yourself. You may use the space below or attach a separate page. It is most helpful to the audience if your introduction explains how your background and current position relate to the information you will present. This introduction will be read verbatim at the start of your session. Therefore, please use complete sentences, and type or write clearly.
AUDIO/VISUAL
CAHSAH’s 2011 Annual Conference & Home Care Expo
May 10-12, 2011 Ontario Convention Center, Ontario, CA
Page 6
Audio/Visual Equipment
Check all that apply. Please carefully consider the A/V equipment you will need for your presentation. Please be sure to return this form by the deadline date, as we cannot guarantee we will be able to honor audiovisual requests received after the deadline date.
Please indicate below the audio/visual equipment you will need for your presentation. CAHSAH will not provide LCD PowerPoint projectors. You must provide your own LCD projector.
If you require a piece of equipment that is not listed below, please contact CAHSAH.
Lapel Microphone (if more than one speaker – indicate qty:)
Screen (8x10) Podium with microphone
Overhead Projector Podium (no microphone)
Flipchart/Easel/Markers VHS player and monitor
Other (please specify)
Room Set-Up
Rooms will be set up classroom style.
Due to increased costs, on-site requests for audiovisual equipment will NOT be honored. Please make appropriate arrangements in advance. Please notify CAHSAH before the conference if an audiovisual equipment change is required. Thanks for your cooperation.
PERMISSION TO USE AND REPRODUCE
COPYRIGHTED MATERIALS
If speaker is using copyrighted publications from other sources, speaker must obtain permission by filling out this form and getting appropriate authorization before submitting to CAHSAH.
Ontario Convention Center
2000 E. Convention Center Way
Ontario, CA 91764
Phone: (800) 455-5755
To be completed by person requesting to use copyrighted materials
Request Made By: Date:
Request Sent To:
Address:
City: State: Zip:
Telephone: Fax:
The California Association for Health Services at Home (CAHSAH) is seeking permission to reproduce materials from your publication for use at an educational workshop. The materials will be given to workshop attendees and sold to those individuals who do not attend the workshop. CAHSAH requests permission to reproduce the following:
Title:
Author(s):
Date:
Journal Name:
Page(s):
Additional Info:
To be completed by Copyright Holder
Permission to reproduce granted Permission to reproduce denied
Permission to reproduce granted under the following conditions:______
______
______
______
Authorized Signature: ______Date: ______
Printed Name: ______Title: ______
PERMISSION TO RECORD AND REPRODUCE
As part of our continuing commitment to provide CAHSAH members with affordable training opportunities, CAHSAH may at it’s option audio/video record this education session and make it available on the web or as a self learning resource through bookstore sales. Please indicate your agreement to be audio/video taped.
By checking the yes box, I hereby give my permission to the California Association for Health Services at Home (CAHSAH) to record, reproduce and distribute the audio/video and written handout materials from this session. I authorize CAHSAH to make this available for sale through audio CD’s, video streamline and handouts, which will include my spoken presentation and written materials. I also agree to indemnify CAHSAH against any alleged copyright infringement associated with my spoken presentation or written materials.