ASSE Professional Development Conference & Exposition
Safety 2015
June 7, 2015  Dallas, Texas
Call for Speakers & Presenters
ASSE’s Academics Practice Specialty will host its Fourteenth Academic Forum at the Professional Development
Conference in Dallas on Sunday, June 7, 2015. The Forum is open to all Academics Practice Specialty Members or
full time Safety, Health and Environmental academicians and researchers.
The theme is always, “The Best in SH&E Education!” The Forum offers a great opportunity to stimulate the
exchange of ideas concerning SH&E education practices!
Proposals are being accepted for either individual presentations or
panel discussions. Areas of focus for the forum are as follows:
▪ Student Recruitment
▪ Student Research
▪ Technology in the Classroom
▪ Safety Culture
▪ Scholarship of Teaching
▪ Accreditation
▪ Working with Advisory Boards
▪ Internet vs. Face-to-face
We are encouraging proposals for panel/roundtable discussions
based on feedback from last year’s Forum. These types of
presentations tend to foster more audience participation.
DETAILS & POLICY
Presentation Description: Describe your presentation and expected
learning outcomes. (Maximum length is three pages)
Brochure Description: Provide a 50 word or less description of the
presentation for inclusion in the marketing brochure.
Biographical Data & References: Include name, address, education,
current position, certifications, designations, qualifications and
relevant speaking experience for each speaker (that address
qualifications to present). List contact information (work phone
number) for three references. List noteworthy articles and
publications from the last three years.
(Maximum length is three pages)
Multiple Submissions: No more than two proposals (the first
two received) will be considered. Complete a separate application
form for each submission.
Length of Presentation: Individual sessions last 20 minutes. Panel
or Roundtables last 60 minutes.
Proceedings Paper: Speakers must submit a paper based on
their presentation for the proceedings that is provided to conference
attendees. Details on preparing the proceedings paper is provided
upon selection. Papers are due March 6, 2015.
To submit a proposal for
Safety 2015 Academic
Forum:
1) Complete the application on
the reverse side.
2) Follow submission
instructions on the Application
form - See Details & Policy
section on this page for more
information.
3) Do not submit PowerPoint
presentations, CD-ROMs, disks,
brochures or promotional
material.
Incomplete submissions will
not be considered.
Send your proposal package
postmarked by
November 7, 2014
ASSE-2015 PDC
Manager, Practice Specialties
1800 E. Oakton Street
Des Plaines, IL 60018-2187
Packages may also be e-mailed to:
CHaguewood@asse.org
Subject Line: ASSE 2015 and [Topic Area]
Visit www.asse.org for
more information.
Honoraria: Individual speakers (one to two speakers per session)
receive a full complimentary conference registration.
Group / panel presenters receive a 50% discount on the applicable registration fee. Travel, lodging and meal
expenses are the responsibility of the speaker.
ASSE Professional Development Conference & Exposition
Safety 2015
June 7, 2015  Dallas, Texas
Speakers & Presenters
Application Form
Type or print clearly. Attach additional sheets if necessary. Submit by November 7, 2014.
SPEAKER INFORMATION
Designations
Presenter(s)
full name(s):
none, none, none
Certifications
Designations
,
,
none, none, none
Certifications
,
,
ASSE Member
Yes
No
ASSE Member
Yes
No
Organization:
Address:
City:
State / Province:
Country:
Tel:
Zip Code:
Fax:
E-mail:
PRESENTATION INFORMATION
Title of presentation:
Primary topic area: (see list below under Topic Area; list one only)
Format (check one):
Individual Session (1 or 2 speakers)
Method (check all that apply):
Lecture Presentation
Group / Panel (3 or more speakers)
Case Study
Panel Discussion
Topic Area (check all that apply):
Recruitment of Students
Teaching Strategies
Innovative Courses
Innovative Delivery Methods
Signature:
Grant Opportunities
Internships
Date:
SUBMISSION INSTRUCTIONS
 Complete the application form for each proposal submitted (two maximum). Review the application(s) for completeness,
accuracy and legibility. Sign where indicated (no signature required for electronic submissions).
 Send: 1) this form; 2) presentation description (three pages maximum); 3) biographical data and references (three pages
maximum); and 4) brochure description of 50 words or less, postmarked by November 7, 2014, to:
ASSE-2015 PDC
Manager, Practice Specialties
1800 E. Oakton Street
Des Plaines, IL 60018-2187
e-mail: CHaguewood@asse.org
Subject Line: ASSE 2015 and [Topic Area]
Acceptance notification will be mailed by Dec. 31, 2014
Submissions must be postmarked by November 7, 2014