ABSTRACT FOR PRESENTATION PROPOSALS

GAHSC ANNUAL CONFERENCE

“ HEART OF THE MATTER”
JEKYLL ISLAND

APRIL 23 – 25, 2002

 

Presenter:____________________________________________________________

 

Title:___________________________________Degree(s)held:_________________

 

Agency:______________________________________________________________

 

Mailing Address:______________________________________________________

 

Phone:__________________Fax:__________________EMail:___________________

 

Co-Presenter(s):_______________________________________________________

 

Title:________________________________Degree(s) held:____________________

 

Title of Presentation:___________________________________________________

 

Description of Presentation (50 words or less):________________________________

 

___________________________________________________________________

 

___________________________________________________________________

 

___________________________________________________________________

 

___________________________________________________________________

 

Workshop Length:       ______________1.5 hours   OR       _______________3 hours

 

Audio-Visual Equipment Needed:___________________________________________

 

Target Audience:        ______________Administration      ________________Clinical

(check all that apply) 

                                    ______________State Personnel   ________________Direct Care

 

Deadline for submission of proposals is October 12, 2001.

Please mail or fax to:

GAHSC Workshop Committee

34 Peachtree Street, NW Suite 710

Atlanta, GA 30303

Phone:  (404) 572-6170

Fax:  (404) 572-6171