Speaker Presentation Proposal
Presentation Title
*
Abstract
*
Presenting Authors
Please complete information below for all presenting authors. Max 3 presenters.
Presenting Author
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Country Code
-
Area Code
Phone Number
Corresponding Author
First Name
Last Name
Email
example@example.com
Phone Number
-
Country Code
-
Area Code
Phone Number
Corresponding Author
First Name
Last Name
Email
example@example.com
Phone Number
-
Country Code
-
Area Code
Phone Number
Profession/discipline
*
Please Select
Occupational Therapy
Speech and Language Pathology
Social Worker
Psychology
Educator
Author
Researcher
Other
Please fill in profession/discipline
*
Length of Presentation
*
Please Select
30 Minutes to 1 Hour
1 Hour to 1.5 Hours
1.5 Hours and Above
Preferred Format
Please Select
In-person
Online
No preference
Reference List of Cited Works
Electronic Signature
*
I understand that by signing I acknowledge and agree to the criteria for the submission of this abstract to STAR Institute.
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