October 4-6, 2017

13TH ANNUAL TCOM CONFERENCE Leadership: Collaboration, Coaching, and Data Informed Decision-Making

Due March 15th

PROPOSAL FORM—1 OF 3

Primary Presenter (Individual with whom all communication will occur) Name Degree(s): Presenter Title Organization Address City State Zip Code Phone E-mail

DAY(s) AVAILABLE: Wednesday, Oct.4 Thursday, Oct. 5 Friday, Oct. 6

TOPIC THEME: Leadership Supervision Decision Support Research* Training/Coaching Outcomes/Evaluation Systems Management Evidence-Based Practice Other_________________

PRESENTATION LENGTH: Posters will be displayed throughout the main hall *Presentation Types described pg. 3 45 minutes-

Presentation 1.5 hours-Workshop

3 hour- Topical Interest (Only available Wednesday)

AUDIO-VISUAL EQUIPMENT NEEDED: (presenters are encouraged to supply their own laptops) Podium Microphone LCD Projector/Screen External speakers Flip Chart/Markers Poster Stand Other: ___________________*AV equipment must be ordered in advance

Co-Presenter (One Co-Presenter will receive a registration discount) Name Degree(s): Presenter Title Organization Address City State Zip Code Phone E-mail

*Include in your abstract the Question/Hypothesis, Participants, Method, and Results.

Leadership: Collaboration, Coaching, and Data Informed Decision-Making

PROPOSAL FORM—2 OF 3

Title:

Presentation/Poster Abstract: (200 words or less)

Workshop Description: (80 words or less)

Brief Bio for Primary Presenter (and Co-Presenter): (200 words or less)

*All Research topics must include the Question/Hypothesis, Participants, Method, and Result in this abstract

Leadership: Collaboration, Coaching, and Data Informed Decision-Making

PRESENTATION/POSTER PROPOSAL FORM—3 OF 3

Presentation/Poster References:

Additional Presenters (if needed)

Name Degree(s): Presenter Title Organization Address City State Zip Code Phone E-mail

Name Degree(s): Presenter Title Organization Address City State Zip Code Phone E-mail

Posters: All posters will be displayed over the duration of the 3-day conference. The presenter is responsible for submitting their poster and printing. We will provide stands. Presentation: Presentations are 45 minutes long. Workshop: All workshops are 1.5 hours long. A brief break will be scheduled into the workshop. Topical Interest Session: 3 hours. Topical Interest sessions will be held only on Wednesday 10/4/2017.