VIEWS: 40 PAGES: 2 POSTED ON: 7/5/2012
EDUCATION PRESENTATION SUBMISSION FORM CLSA Annual Education Meeting 0B April 25-28, 2012 Newport Beach, California APPLICATION DEADLINE: August 15, 2011 1B The Contact Lens Society of America is pleased to invite your submission of contact lens related courses at the 2011 Annual Education Meeting. Courses will be held from Wednesday, April 25 through Saturday, April 28, 2012 at the Newport Beach Marriott Hotel & Spa. Courses submitted cover a wide variety of contact lens related topics. All abstracts must be submitted electronically via email to firstname.lastname@example.org by U U the submission deadline of August 15, 2011. PLEASE SUBMIT BY ELECTRONIC MAIL TO: email@example.com 1. Category of Presentation: 10 Minute General Session Talk One-Hour Course Other 2. Title of Presentation: 3. Instructor(s): 4. Current Curriculum Vitae. Include one for each instructor listed. Please insert here by cutting and pasting with your word processor. 5. Biographical Sketch. 100 words or less, include one for each instructor listed. Please insert here by cutting and pasting with your word processor. 6. Level of Presentation: (Check one only) Level 1 Level 2 Level 3 7. Prerequisites: (if any, required for Level 3 Courses) 8. Instructional Objectives. Provide at least 1 objective, e.g., “At the conclusion of this presentation the participant will have learned…,” for a 10 minute presentation and 3 for each hour. Please insert objectives here by typing or by cutting and pasting with your word processor. 9. Topic Outline. A detailed outline is required for all presentations. Each specific skill should be listed as a main topic, and there should be not less than three main topics per credit hour. Outline must be timed. Please insert outline here by cutting and pasting with your word processor. (Continued on Next Page) 10. Course Description. 100 words or less describing the presentation, to be published in the preliminary program. Please insert course description here by typing or by cutting and pasting with your word processor. NOTE: Course content Umust be generic in nature and presented in an objective manner. By submitting this submission form for the CLSA Annual Education Meeting, you pledge that course content will be presented in a generic and objective manner. Submit completed form to: Carri Ferguson, FCLSA, Education Committee Contact Lens Society of America 441 Carlisle Drive, First Floor Herndon, VA 20170 (703) 437-5100 FAX (703) 437-0727 e-mail: firstname.lastname@example.org Note: Incomplete applications will not be considered. Please be sure you complete each section and attach required additional information.
Pages to are hidden for
"CALL FOR PRESENTATIONS SUBMISSION FORM"Please download to view full document