Abstract Submission Form(doc file)

advertisement
The 1st International Conference on Horticultural Therapy and Therapeutic Landscaping
Horticultural Therapy and Therapeutic Landscaping for Health and Well-Being
Abstract Submission Form
Please send to the conference secretariat at [email protected] by 21 March 2014.
Presenter Profile
Please tick the appropriate box
Title: □ Prof. □ Dr □ Mr
□ Mrs
□ Ms
□ Miss
Please complete this form in CAPITAL letters.
Surname: ___________________
Organisation / Institution:
Postal Address:
First name:
___________________________________
_______________________________________________________
_______________________________________________________________
_______________________________________________________________
City: ___________________
Postal Code:_______________
Tel:
_______________________
Fax:
___________________
(office)
Country :__________________
________________________
(mobile)
Email: ___________________________________________
Please check below the themes for which you wish your abstract to be considered for selection.
□ Horticultural Therapy with Children, Adolescent or Family Members
□ Horticultural Therapy with Elderly People
□ Horticultural Therapy with Special Populations
□ Horticultural Therapy for Rehabilitation
□
□
□
□
□
Evidence-based Practice in HT and Landscaping
Special Projects in HT and Landscaping
New Trends in the Application of HT and Therapeutic Landscaping
Sustainable HT Programs
The Development of Policies on Therapeutic Landscaping in a Metropolitan City
Please check below to indicate whether the submission is for an oral or poster presentation.
□
oral presentation
□
poster presentation
Please check below to indicate whether the submission is a research paper or project report.
□
research paper
□
project report
Horticultural Therapy and Therapeutic Landscaping for Health and Well-Being
Abstract Form
Theme Area (Please select from those listed in the instruction sheet.):
___________________________________________________________________
Title: _____________________________________________________________
Authors: __________________________________________________________
Affiliation/Organisation:________________________________________________
Text of abstract (word limit – 250-300)
Download