Roundtable Proposal Application
2013 CSHC Statewide Conference
On March 15, 2013, the California School Health Centers Association (CSHC) is hosting its annual
conference, Vision & Voice for Healthy Students, in Long Beach. We are looking for roundtable
facilitators to lead discussions on topics of interest to school health stakeholders.
We are open to proposals on any school health topic, including, but definitely not limited to:
 Dispensing birth control and other medications on school sites
 School-based immunization clinics
 Meeting the needs of rural communities
 Partnering with “minute clinics” (e.g., pharmacy clinics)
 Innovative fundraising for school health services
 Payment and cash flow systems for SBHCs
 Maximizing federal HRSA school-based health center grant awards
If your roundtable proposal is selected, you may receive a discounted conference registration rate of
$110, saving $20 off the early bird member rate. Additional facilitators are welcome but normal
registration rates will apply. [Note that facilitator discount applies only to main conference and not the
optional pre-conference.]
Proposal Deadline Extended to January 18th
Vision & Voice for Healthy Students: CSHC 2013 Conference Information
The conference will be held at The Westin Long Beach.
 Thursday March 14th (2 pm – 5 pm) – Optional preconference workshop sessions
 Friday March 15th (9 am – 5 pm) – Plenary, workshops, lunchtime roundtables, and exhibits
Approximately 400 participants are expected including:
 School-based health center staff and administrators
 Student support and health services personnel
 Community medical, mental health, and oral health providers
 School administrators and student services leaders
 Local, regional, and state officials and policymakers
 School health program funders
There will be approximately 20 optional lunchtime roundtables.
 Roundtables will last 30 minutes and will seat up to 8-10 participants.
 Roundtables may be facilitated by presenters, exhibitors, or participants. Please note that
roundtables are not to be used as marketing or sales opportunities for companies/products.
 Roundtables will not be advertised in advance of the conference.
 Facilitators will be asked to lead the discussion by presenting a 5-minute introduction to the
topic and posing 2-3 open-ended questions to guide the group’s conversation. (There will be
no formal presentations, PowerPoints, flip charts, or markers for these informal sessions.)
Lead Contact Name:
Lead Contact Phone Number:
Lead Contact Email Address:
Roundtable Title:
Brief Description of Topic:
2-3 Discussion Questions:
Facilitator #1:
(eligible for discounted
registration)
Facilitator #2:
(optional –no discounted
registration)
Name:
Credentials: (e.g. RN, MPH)
Job Title:
Organization:
Name:
Credentials: (e.g. RN, MPH)
Job Title:
Organization:
E-mail this completed form to Alice Ricks at [email protected] by January 18,
2013. Faxed forms will not be accepted. Please send questions to Alice at above e-mail address.