General Proposal Template
This document is a sample template to guide preparation of your research proposal and is not intended for proposal
submission. You must complete the online submission process in order for your proposal to enter the review process
and be considered for presentation at the AOTA Annual Conference.
Policies Governing Accepted Proposals
Please agree to the "Policies Governing Accepted Proposals" and keep a copy for your reference.
Policies Governing Accepted Proposals
☐Once a proposal is accepted as a session, changes to the proposal may not be made.
☐AOTA reserves the right to assign the day and time that accepted proposals will be scheduled. In addition, AOTA
reserves the right to publish any submission, in whole or in part, in any form by any printed, visual, electronic, or
auditory means.
☐All OT, OTA, and student speakers whose proposals are accepted for presentation must register for at least one
day of the conference.
☐Notification will be sent by e-mail by late September 2014 regarding acceptance of proposals. Notifications not
acknowledged by the due date, will result in a session being dropped from the final program.
☐The exclusive promotion or sale of goods, services, or products during educational sessions at conference is
prohibited. Speakers who are found to be engaging in such practices will have their sessions halted.
☐Copyrights, Royalties, and Trademarks - Speaker warrants that no literary or artistic work or other property
protected by copyright will be performed, reproduced or used, nor will the name of any entity protected by
trademark be reproduced or used by Speaker during your speech and presentation (including but not limited to any
exhibits, movie clips, videos, graphics) unless Speaker has obtained written permission from the copyright or
trademark holder. Speaker covenants to comply strictly with all laws respecting copyright, royalties and trademarks.
☐Speaker shall indemnify and hold AOTA, its officers, agents and employees harmless from all claims, losses and
damages (including court costs and attorney fees) with respect to any such copyright, royalty or trademark rights.
Visit www.copyright.com
☐If requested by AOTA, the speaker agrees to promote or discuss the conference session prior to conference.
☐Standard audiovisual equipment will be available as follows for each session except Posters & Tech Day Sessions:
o 1 laptop computer w/DVD/CD player and MS Office
o 1 podium and 1 head table
o 1 podium microphone and 1 wireless handheld or Lavaliere microphone
o 1 projection screen
o 1 LCD projector
o Sound system
o Internet Connection
o 1 laser pointer
☐AOTA will only reimburse Institute speakers for printed handouts. All other handouts will be posted on the
Conference Web site for registered attendees to access. Instructions will be provided at a later date.
☐Presenters are expected to provide a session handout for the following session types: Pre-Conference Institute,
Research Platform, Short Course, Tech Day, and Workshop. Instructions will be provided at a later date.
☐If you submit multiple submissions, you must use the same e-mail address.
☐I understand and accept the policies and deadlines for proposal submission.
*Indicates required information
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PROPOSED SESSION TITLE
Be concise and descriptive. (Maximum character limit is 120 including spaces).
* Title of Proposed Session: Click here to enter text.
SESSION FORMATS
•
•
•
•
•
Pre-Conference Institute: 6-hour session held April 15, 2015. NOTE: If you need to cap the attendance at your
proposed Institute please make a note in the abstract. The only Institutes that will be considered for capping are
those that have a clearly defined experiential component as a significant piece of the session overall. A reflective
period must be included.
Workshop (Intermediate and Advanced-level content only): 3-hour session with reflective period for attendees
with comprehensive understanding of subject matter.
Short Course: 90-minute session with reflective time for attendees.
Tech Day Session: 90-minute session. Tech Day sessions are a hands-on interactive exploration of high- and lowtechnology products to enhance client participation in occupations across the lifespan. Each presenter will be
provided with one desktop computer, wired Internet connection, and table. There will be 10 stations where
presentations/demonstrations will be occurring simultaneously and continuously during the 90-minute session.
Attendees can circulate through each individual station.
Poster: Displayed on an 8’ wide x 4’ tall bulletin board. Posters will be on display during a designated 2-hour
time period. Presenters are required to be with their poster for the entire 2-hour block of time.
* Please choose the session format for your proposal:
☐ Pre-Conference Institute
☐ Workshop
☐ Short Course
☐ Tech Day
☐ Poster
LEVEL OF MATERIAL
•
•
•
Introductory level is geared to practitioners with little or no knowledge of the subject matter. Focus is on
providing general introductory information.
Intermediate level is geared to practitioners with a general working knowledge of current practice trends and
literature related to the subject matter. Focus is on increasing knowledge and competent application of the
subject matter.
Advanced level is geared to practitioners with a comprehensive understanding of the subject matter based on
current theories and standards of practice as well as current literature and research. Focus is on recent advances
and trends, and/or research applications. It is expected that a high-level of participation by attendees is
encouraged during this session.
* Please select the Level of material being presented:
☐ Introductory
☐ Intermediate
☐ Advanced
*Indicates required information
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*Please state why you selected this level: Click here to enter text.
PRIMARY CATAGORY
Please select a primary focus that best describes your proposal.
* Please select a primary focus:
☐ Academic & Fieldwork Education
☐ Children & Youth
☐ General & Professional Issues
☐ Health & Wellness
☐ Mental Health
☐ Productive Aging
☐ Rehabilitation, Disability, & Participation
☐ Work & Industry
SECONDARY CATEGORY
Please choose the secondary focus that best describes your proposal. AOTA reserves the right to change submitter’s
Secondary Category selection
* Please select a secondary category:
☐Academic Education
☐Advocacy
☐Administration & Management
☐Community-Based Practice
☐Developmental Disabilities
☐Driving & Community Mobility
☐Early Intervention
☐Feeding, Eating, & Swallowing
☐Fieldwork Education
☐General & Professional Issues
☐Gerontology
☐Hands
☐Health & Wellness
☐Home & Environmental Modifications
☐Home Health
☐International & Cultural Issues
☐Low Vision
☐Mental Health
☐Physical Rehabilitation
☐Private Practice
☐Research
☐School Systems
☐Sensory Integration/Sensory Processing
☐Technology
☐Work & Industry
SPEAKER(S) BIO
Provide a brief biography of all speakers that may appear on the mobile app.
* Maximum character limit: 400 (including spaces): Click here to enter text.
LEARNING OBJECTIVES
Should be specific and answer the question: "At the conclusion of this session, participants will:" Workshops, Short
Courses, Tech Day, Paper, and Posters may have up to 3 learning objectives; Institutes may have up to 4 learning
objectives. Any learning objectives above this number will not be printed in.
* Objective 1: Click here to enter text.
*Indicates required information
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Objective 2: Click here to enter text.
Objective 3: Click here to enter text.
Objective 4 (Institutes only): Click here to enter text.
ABSTRACT AND REFERENCES
The scoring of your proposal depends upon following the submission criteria closely and completely. Reviewers will use
this information to score your submission.
Combined Abstract and References character count limit for each session type is below:
• Institute 4,500 (includes spaces)
• Workshop/Short Course 3,500 (includes spaces)
• Tech Day 2,500 (includes spaces)
• Poster 2,500 (includes spaces)
Points may be deducted for exceeding the noted character counts.
* Please enter Abstract and References: Click here to enter text.
ABSTRACT SYNOPSIS
Summarize the major points of your abstract and describe how this topic will advance either the practice/professional
development of the participant or the field of occupational therapy. If your proposal is accepted, this information will be
printed in the onsite Conference Program Guide and is subject to copy editing.
* Maximum character limit: 300 (including spaces): Click here to enter text.
CONTRIBUTING AUTHOR
Contributing authors are persons who have contributed to the development and content of the proposal but will NOT be
presenting. Contributing authors will be listed in the onsite Conference Program Guide.
Include only: First Last, Credentials. NOTE: Ensure that spelling, capitalization and credentials sequence are correct (e.g.
PhD, OTR/L, FAOTA). Please do not use periods in credentials. AOTA does not recognize credentials such as “OTS” or
“PhD(C),” which identifies students in pursuit of a degree not yet earned. Example Listing: William Smith, PhD, OTR/L,
FAOTA; Nancy Rogers, PhD.
Please list contributing authors to this proposal: Click here to enter text.
RELIGIOUS CONFLICTS
* This session can be presented on a Saturday, no religious conflicts: ☐Yes
☐No
AOTA BOARD CERTIFICATION OR SPECIALTY CERTIFICATION
Do you currently have AOTA Board Certification or Specialty Certification? ☐Yes
*Indicates required information
☐No
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REPRESENTATIVE ASSEMBLY
* Are you a member of the Representative Assembly? ☐Yes
☐No
AOTA/AOTF SPONSORED SESSION
Enter name of AOTA/AOTF Liaison: Click here to enter text.
PRIMARY SPEAKER INFORMATION
Please note: The primary speaker is the only person who will receive notifications from AOTA regarding acceptance of
the proposal.
ENTERING CREDENTIALS: Ensure capitalization and sequence are correct (e.g. PhD, OTR/L, FAOTA). Please do not use
periods in credentials. AOTA does not recognize credentials such as “OTS” or “PhD(C),” which identifies students in
pursuit of a degree not yet earned. List only the highest degree earned.
*First Name: Click here to enter text. *Last Name: Click here to enter text.
Degrees/Credentials: Click here to enter text.
AOTA member number: Click here to enter text.
*Employer: Click here to enter text.
*City: Click here to enter text. *State: Click here to enter text. Country (if outside USA): Click here to enter text.
*Phone: Click here to enter text.
*Email Address (all correspondence will be sent to this email.): Click here to enter text.
ADDITIONAL AUTHOR(S) – PROVIDE INFORMATION FOR EACH ADDITIONAL AUTHOR
ADD/EDIT ADDITIONAL SPEAKER (Limit 10)
This section is ONLY for information about additional speakers that will be on site presenting with you. List any
contributing authors in the Session information step in the left sidebar. Contributing authors are individuals who have
contributed to the proposal, but are NOT presenting with you.
ENTERING CREDENTIALS: Ensure capitalization and sequence are correct (e.g. PhD, OTR/L, FAOTA). Please do not use
periods in credentials. AOTA does not recognize credentials such as “OTS” or “PhD(C),” which identifies students in
pursuit of a degree not yet earned. List only the highest degree earned.
1.
*First Name: Click here to enter text. *Last Name: Click here to enter text.
Degrees/Credentials: Click here to enter text.
AOTA member number: Click here to enter text.
*Employer: Click here to enter text.
*City: Click here to enter text. *State: Click here to enter text. Country (if outside USA): Click here to enter text.
*Phone: Click here to enter text.
*Email Address (all correspondence will be sent to this email.): Click here to enter text.
2.
*First Name: Click here to enter text. *Last Name: Click here to enter text.
Degrees/Credentials: Click here to enter text.
AOTA member number: Click here to enter text.
*Employer: Click here to enter text.
*City: Click here to enter text. *State: Click here to enter text. Country (if outside USA): Click here to enter text.
*Phone: Click here to enter text.
*Email Address (all correspondence will be sent to this email.): Click here to enter text.
*Indicates required information
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3.
*First Name: Click here to enter text. *Last Name: Click here to enter text.
Degrees/Credentials: Click here to enter text.
AOTA member number: Click here to enter text.
*Employer: Click here to enter text.
*City: Click here to enter text. *State: Click here to enter text. Country (if outside USA): Click here to enter text.
*Phone: Click here to enter text.
*Email Address (all correspondence will be sent to this email.): Click here to enter text.
4.
*First Name: Click here to enter text. *Last Name: Click here to enter text.
Degrees/Credentials: Click here to enter text.
AOTA member number: Click here to enter text.
*Employer: Click here to enter text.
*City: Click here to enter text. *State: Click here to enter text. Country (if outside USA): Click here to enter text.
*Phone: Click here to enter text.
*Email Address (all correspondence will be sent to this email.): Click here to enter text.
5.
*First Name: Click here to enter text. *Last Name: Click here to enter text.
Degrees/Credentials: Click here to enter text.
AOTA member number: Click here to enter text.
*Employer: Click here to enter text.
*City: Click here to enter text. *State: Click here to enter text. Country (if outside USA): Click here to enter text.
*Phone: Click here to enter text.
*Email Address (all correspondence will be sent to this email.): Click here to enter text.
6.
*First Name: Click here to enter text. *Last Name: Click here to enter text.
Degrees/Credentials: Click here to enter text.
AOTA member number: Click here to enter text.
*Employer: Click here to enter text.
*City: Click here to enter text. *State: Click here to enter text. Country (if outside USA): Click here to enter text.
*Phone: Click here to enter text.
*Email Address (all correspondence will be sent to this email.): Click here to enter text.
7.
*First Name: Click here to enter text. *Last Name: Click here to enter text.
Degrees/Credentials: Click here to enter text.
AOTA member number: Click here to enter text.
*Employer: Click here to enter text.
*City: Click here to enter text. *State: Click here to enter text. Country (if outside USA): Click here to enter text.
*Phone: Click here to enter text.
*Email Address (all correspondence will be sent to this email.): Click here to enter text.
8.
*First Name: Click here to enter text. *Last Name: Click here to enter text.
Degrees/Credentials: Click here to enter text.
AOTA member number: Click here to enter text.
*Employer: Click here to enter text.
*City: Click here to enter text. *State: Click here to enter text. Country (if outside USA): Click here to enter text.
*Phone: Click here to enter text.
*Email Address (all correspondence will be sent to this email.): Click here to enter text.
9.
*First Name: Click here to enter text. *Last Name: Click here to enter text.
Degrees/Credentials: Click here to enter text.
AOTA member number: Click here to enter text.
*Indicates required information
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*Employer: Click here to enter text.
*City: Click here to enter text. *State: Click here to enter text. Country (if outside USA): Click here to enter text.
*Phone: Click here to enter text.
*Email Address (all correspondence will be sent to this email.): Click here to enter text.
10.
*First Name: Click here to enter text. *Last Name: Click here to enter text.
Degrees/Credentials: Click here to enter text.
AOTA member number: Click here to enter text.
*Employer: Click here to enter text.
*City: Click here to enter text. *State: Click here to enter text. Country (if outside USA): Click here to enter text.
*Phone: Click here to enter text.
*Email Address (all correspondence will be sent to this email.): Click here to enter text.
*Indicates required information
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