SBCNA 2013 Call for Presentations

Presenter(s)

Enter name and information for preferred method of contact.

Lead Presenter:

Name:
Address:
Phone:
E-mail:

Co-Presenter:

Name:
Address:
Phone:
E-mail:

Co-Presenter:

Name:
Address:
Phone:
E-mail:

Co-Presenter:

Name:
Address:
Phone:
E-mail:

Brief Biographical Sketch of Each Presenter
Lead Presenter

Co-Presenter

Co-Presenter

Co-Presenter

Continuing Education Information

Topic/Title:

Abstract or summary of content of the session, poster, or paper (3-4 sentences, 100 words or fewer):

Description of workshop (Describe the workshop in detail):

Learning Objective(s): Please list 1-4 learning objectives for your presentation that completes this sentence: "Based on the content of this presentation, the participant will be able to..."

Scheduling

Time needed for presentation/workshop: 30 minutes 45 minutes 60 minutes Other:

Availability - Are there any times that you will not be available to present? If so, please list.
* Conference Committee will do their best to accommodate your request.

Level of Presentation: Basic Intermediate Advanced

Content Area (Check all that apply):

Neurobiology	Biofeedback	Neurofeedback
Research	Clinical	Specific Disorders
Case Presentations	Treatment Protocols	Evaluations
Emerging Trends	Integrating Services	Self care
Nutrition	Ethics	Clinical Pearls
Innovations in Principles and Practice of BFB		Reimbursement
Innovations in Principles and Practice of NFB		Marketing
Other

Structure of presentation:

PowerPoint/Lecture	Experiential Activity
Panel Discussion	Hands-on/Demonstration
Poster	Paper Presentation
Other:

Audio/Visual Needs:

TV/VCR/DVD/CD (Indicate which format):

LCD Projector

Flip Chart w/ pad and markers

Other:

By choosing "I Agree." below, you are authorizing the North Carolina Biofeedback Society to sell/release/use for professional development purposes the electronic copy (visual and or audio) of your presentation.

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