17Th Annual Downstate Recreation Conference

Call for Program Proposals

17th Annual Downstate Recreation Conference

Wednesday, November 16, 2011 •Westchester County Center •White Plains, New York

Co-Sponsors: HVLSA, LILSA, METRO, NYSRPS, NYSTRA AND WRAPS

Submission Deadline: August 15, 2011

Please Submit to: NYSRPS, 19 Roosevelt Drive Suite 200, Saratoga Springs, NY 12866

Fax: 518 584 5101

email:

Title of Program: (7 word limit)______

Target Audience: (Check all that apply)

o Municipal o Therapeutic Recreation o Community o Management

o Student o Practitioner o Other (Describe) ______

Length of Session: o 1 Hour o Institute (All day) Time Preference: o Morning o Afternoon

Presenter’s Name & Title:______

Agency:______

Mailing Address:______Email:______

City: ______State: ______Zip: ______

Work Phone: ( ____ ) ______Home Phone: ( ____ ) ______Fax: ( ____) ______

Resume attached Yes No If resume is not attached, nor on file at NYSRPS, ceus are not available for this session.

Additional Presenter’s Name & Title:______

Agency: ______

Mailing Address:______Email:______

City: ______State: ______Zip: ______

Work Phone: ( ____ ) ______Home Phone: ( ____ ) ______Fax: ( ____) ______

Resume attached Yes No

Additional Presenter’s Name & Title:______

Agency: ______

Mailing Address:______Email:______

City: ______State: ______Zip: ______

Work Phone: ( ____ ) ______Home Phone: ( ____ ) ______Fax: ( ____) ______

Resume attached Yes No

Session Description: ______

Learning Outcomes: (List three learning outcomes)

1. ______

______

2. ______

______

3. ______

A/V Equipment:

o SCREEN o LCD PROJECTOR o FLIPCHART o TV o DVD

Certain AV requirements are not available including:

Laptops, overhead projectors, CD players

Session Format: o Lecture/Discussion o Interactive o Dancing o Other______

Session Introduction: A moderator will be provided.

Is there anyone you would recommend to introduce your session?

 Yes, I recommend, Name ______Phone ( ____ ) ______

 No, You select the moderator

Were you a presenter at the 2010 Downstate Recreation Conference?  Yes  No

If yes, do you have any comments or concerns? ______

All abstracts MUST include a current resume for all speakers in order to be considered.

All handouts are the responsibility of the speakers, including photocopies.

Send to: NYSRPS, 19 Roosevelt Drive Suite 200, Saratoga Springs, NY 12866

Fax: 518 584 5101

email: