5th Annual St. Joseph`s College Conference in Conjunction with LILSA

5th Annual St. Joseph’s College Conference in Conjunction with LILSA www.lilsa.org April 17, 2015 / St. Joseph’s College, Patchogue NY Educational Session Proposal/Continuing Education Unit Approval Form The 2015 Annual Conference Program Committee invites you to submit your session proposals for the 5th Annual Conference Program. Proposal will be accepted through FEBRUARY 17, 2015 Please complete and return to: rd​
Anthony Martino, 260­41 73​
Ave, Glen Oaks, NY 11004 amartino@nshs.edu Tom McGerty ­ ​
tmcgerty@gardencityny.net Online submission ­ https://docs.google.com/forms/d/1EfWENCOW1FKyxMWBIR_6rj­FCbCCeXYEc­LHxM_IHmA/viewform https://sites.google.com/site/recreationnews/ Session/Program Title:​
(​
Limit to 7 words) _____________________________________________________________________________________ Session Description:​
(​
70 words or less; please use other sheet, if needed) _____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_________________________________________________________________________________ Describe the educational needs that this session will be addressing​
(​
Needed for CEU approval)​
. _____________________________________________________________________________________
_____________________________________________________________________________________
__________________________________________________________________________________ List Three Objectives this session will teach ​
(Needed for CEU approval)​
. Start with the participant will……..and then please use words such as Define, Explain, Describe, Record, Identify, List, Outline, Recognize, Recall, Restate, and Summarize when stating your objective. 1.___________________________________________________________________________________ 2.___________________________________________________________________________________ 3.___________________________________________________________________________________ Please identify which educational track(s) you believe are applicable to this session: Foundational Knowledge
Advancement of the Profession
Planning Organizational Knowledge of TR/RT
Communication
Policy Practice of TR/RT
Finance
Operations Human Resources Programming Target Audience: (Circle all that apply) Therapeutic Recreation
Young Professionals
Administrators
Parks Staff
Supervisors
Cultural Arts
Programming
Seniors
Students
Sports Session Format: (Circle all that apply) Interactive Lecture
Lecture
Hands­on
Facilitated Roundtable
Tour
Off­site
Other ​
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Maintenance Trails Park Resources Sustainability Panel Presentation ​
twitter.com/LILSANews CONFERENCE SESSION PROPOSAL FORM – Speaker Information Please complete the following information. Use additional sheets if necessary. A Resume for each speaker MUST be submitted with this form. Speaker Resume attached: Yes No Speaker Name: ________________________________________________________________________ Title: __________________________________ Agency: _______________________________________ Address: _____________________________________________________________________________ City: ___________________________________________State: ______________ Zip: ______________ Work Phone: ___________________Home Phone: ________________________ Fax: ______________ Email Address: ______________________________________ Current Member of NYSRPS? Yes No Speaker Name: ________________________________________________________________________ Title: __________________________________ Agency: _______________________________________ Address: _____________________________________________________________________________ City: ___________________________________________State: ______________ Zip: ______________ Work Phone: ___________________Home Phone: ________________________ Fax: ______________ Email Address: ______________________________________ Current Member of NYSRPS? Yes No Speaker Name: ________________________________________________________________________ Title: __________________________________ Agency: _______________________________________ Address: _____________________________________________________________________________ City: ___________________________________________State: ______________ Zip: ______________ Work Phone: ___________________Home Phone: ________________________ Fax: ______________ Email Address: ______________________________________ Current Member of NYSRPS? Yes No I will need: (Circle all that apply) All rooms are smart rooms with computers and projectors DVD Player
Flip Chart
No A/V Needed Preferred Room arrangement: Classroom/rows of chairs
Activity (open area with chairs along the wall)
U shaped SPEAKER/S LAST NAMES: ______________________________________________________________ No Abstract will be accepted and processed for review without a Resume/Bio per speaker. Submission Deadline through​
February 10, 2015 ​
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