Programming Submission Forms
Southeast Athletic Trainers’ Association
7th Biennial Educator’s Conference
Atlanta, GA
March 9, 2018
Complete the submission form by providing requested information in the text fields. Please refer to the
guidelines for proposal submission for information regarding this format.
Submit (email) completed submission form and all required materials to:
Mandy Jarriel PhD, ATC
SEATA Educator’s Conference Committee Chair
[email protected]
Format:
*Please refer to the programming guidelines for explanation.
Title of presentation (Should describe your presentation and be no longer than 20 words in length.):
Length of presentation:
Speaker 1 (name & credentials):
Title or position:
Place of employment:
Address:
Email:
Work Phone:
Cell Phone:
NATA Member: Yes No
NATA Member #:
Attach CV (word document or PDF) with submission form
Speaker 2 (name & credentials):
Title or position:
Place of employment:
Address:
Email:
Work Phone:
Cell Phone:
NATA Member: Yes No
NATA Member #:
Attach CV (word document or PDF) with submission form
Domain(s) of Athletic Training: Select all that apply to the proposed presentation
I-Injury/Illness Prevention and Wellness Protection
II-Clinical Evaluation and Diagnosis
III-Immediate and Emergency Care
IV-Treatment and Rehabilitation
V-Organizational and Professional Health and Well-Being
Abstract (Summarize the presentation, purpose, need, and any scholarly literature that supports.
Should not exceed 250 words.)*Please note this information will be provided to the attendees prior to
the conference to help them in selecting programming):
Learning objectives: Provide a minimum of 3 (i.e., “Attendees will be able to explain…”)
1.
2.
3.
4.
5.
Purpose, Knowledge, Competency, or Performance Gap Addressed by Session:
Educational materials offered to participants? (outline, PowerPoint, etc.)
Activities (Explain activities to be used during the presentation to engage the audience [e.g., discussion,
role play, experimentation] and a description of how these activities address the presentation objectives.
Should not exceed 250 words.):
Equipment (Indicate any equipment you will need during your presentation or any special needs (e.g.,
computer projector, audio, embedded videos, etc.)*Internet will not be provided:
Describe how this presentation ties to the SEATA ATEC 2018 theme: "Transformation in Athletic
Training Education"
References/sources: (Plenary and Break Out submissions must include a list of at least 5 peer-reviewed
references which support the need and purpose of your presentation in standard AMA format. Model
Practice Showcase submissions may or may not include references depending upon the topic.) :
1.
2.
3.
4.
5.
Proposals must be submitted no later than October 1, 2017.
Incomplete and/or late proposals will NOT be accepted.
THANK YOU FOR YOUR SUBMISSION!