Primary Presenter First Name *

Primary Presenter Last Name *

Credentials *

Affiliation/Agency *

Email *

Will there be additional presenters? If so, please list. Note: The primary presenter will be communication source for all submissions. *
- Select Option Yes No

Additional Presenter 1

Additional Presenter 2

Additional Presenter 3

Additional Presenter 4

Additional Presenter 5

Additional Presenter 6

Additional Presenter 7

Additional Presenter 8

Title of Presentation *

Identify Conference Objective *
- Select Option Strategize implementation of the new IPE Core Competencies Investigate approaches to IPE/C research, practice, policy, and training Integrate tenets of diversity, justice, and equity within IPE/C

Identify Conference Strand *
- Select Option Education Practice Research

Identify Presentation Format *
- Select Option Oral Presentation Session [30 minutes] Roundtable Presentation Session [60 minutes] Three-Slide Briefs (10 minutes) Student Presentation of Discipline Videos [2 minutes)

If you are submitting a 30-minute oral presentation or 60-minute roundtable presentation, are you willing to be assigned to another format? *
Yes
No
I am not submitting a 30-minute oral presentation or 60-minute roundtable presentation.

Learning Objective One *

Learning Objective Two *

Learning Objective Three *

50 WORD ABSTRACT (to be included in conference program) Required for 30-minute oral presentation, 60-minute roundtable presentation, and 10-minute slide brief submissions.
Please enter at most 50 words. You currently have:

150 WORD SUMMARY OF CONTENT (sufficient to describe the research or project) Required for 30-minute oral presentation and 60-minute roundtable presentation submissions. Enter N/A if not applicable. *
Please enter at most 150 words. You currently have:

Student 2-minute Video
Please upload a file with the extension .mp4, .qt, .wma, or .wmv with a maximum size of 1 MB (1024 KB)