Submit Abstract

If you have been selected to speak at MANA 2010 and have not yet filled out an abstract, please do so here.

WARNING, please read all instructions BEFORE beginning to fill out this form. If you leave this page to read the instructions, your form information already entered will be LOST!

Please carefully read all instructions and provide all necessary information in order to be considered. Incomplete submissions will not be considered!

This information will be used to fill out the CEU application, and is a very important step in the process of ensuring CEUs are approved in time.

The Midwives Alliance is committed to fostering a community of compassionate sensitivity to, and celebration of, our many and varied cultural differences. As you are filling out this presentation abstract, please be mindful of—and describe in writing—how the content of your presentation is applicable to people with different racial, ethnic or cultural backgrounds than your own. Thank you for including this cultural sensitivity intention into your presentation.

Submit each session (if more than one) on a different form.

Contact Information

First Name: *

Last Name: *

Email: *

Daytime Phone Number: *

Nighttime Phone Number: *

Cell Phone:

Mailing Address: *

City: *

State/Province: *

Postal Code: *

Session Information

Session Title: *

Click http://mana.org/mana2010/node/3 for instructions on Session Title.

Session Length in Minutes: *

Click http://mana.org/mana2010/node/3#length for instructions on Session Length

Speaker Name(s): *

Click http://mana.org/mana2010/node/3#name for instructions on Speaker Name(s).

List Measurable Behavioral Objectives or Learning Outcomes: *

Click http://mana.org/mana2010/node/3#objectives for instructions on Measurable Objectives or Learning Outcomes.

Describe Session Content in Outline Format: *

Click http://mana.org/mana2010/node/3#content for instructions on Session Content.

Teaching and Delivery Methods: *

Click http://mana.org/mana2010/node/3#methods for instructions on Teaching and Delivery Methods.

Assessment of Learning Outcomes

Choose One: *

Pre/Post Test Questions

Written/Oral Exam

Return Demonstration of Skills or Simulations

Discussion, Summaries or Case Studies

Projects, Plans or Decision Making Exercises

Other (note below)

Explain your "Other" Method of Assessment of Learning Outcomes:

Click http://mana.org/mana2010/node/3#outcomes for instructions on Assessment of Learning Outcomes.

Has this Session been Approved for Continuing Education Credits Before?

Choose One: *

Yes

If "Yes," when:

If "Yes," where:

Click http://mana.org/mana2010/node/3#previousCEU for instructions on previous CEU applications.

List three (3) Pre and Post session test questions and answers: *

Click http://mana.org/mana2010/node/3#questions for information on writing your test questions and answers.

List current references (see instructions for number depending on the length of your session) or documentation you used in preparing this course: *

PLEASE see instructions here http://mana.org/mana2010/node/3#references for the number of references required for the length of your session.

Paste the text of the resume of EACH speaker within this area: *

Click http://mana.org/mana2010/node/3#resume for instructions on your resume(s).

Two-Three Sentence Speaker(s) Bio(s): *

Click http://mana.org/mana2010/node/3#bio for instructions on writing your speaker(s) bio(s).

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