7th Annual Honestly Autism Day

April 16, 2015 – North Baltimore Plaza Hotel, Timonium, MD

Call for Papers – SPARKSession Submission Form

Are you implementing or creating something that is having a positive impact on the lives of individuals with ASD and/or their families?

Do you want to be part of something that celebrates innovation and ignites ideas??

Then submit a proposal to be part of HAD’s

SPARKsession!

Submit a proposal to be part of a SPARK session; each presenter will share in five minutes or less an innovative strategy or idea that has been working in their classroom, school, community, and/or at home. The SPARK session will end with a facilitated discussion of how the ideas shared have ignited new ways of thinking and doing for everyone!! You will walk away feeling motivated and inspired!!

Please complete the information below. Be sure to include a phone number and email where you can be contactedif additional information is needed.

FIRM DEADLINE FOR ALL PROPOSAL SUBMISSIONS – December16, 2015

Title of Your SPARKPresentation (10 word maximum)
Abstract (50 word maximum, appropriate for inclusion in published conference materials)
Description (Please provide sufficient information in your description to clearly explain to the reviewers
what your SPARK strategy, idea, program, or presentation entails and how it is impacting the lives of individuals with ASD. Do not simply include an outline, but rather write in narrative form. (300 word maximum)
SPARK plug (Please write a few sentences explaining why your idea is considered innovative)
Bibliography(Please list references that are relevant to the content of the presentation.)
Target Audience(Highlight one or as many audience groups for whom you feel would benefit from hearing your SPARK presentation.)
Educator – Beginner
Educator – Advanced
Families/Parents/Caregiver
Related Service Providers (Occupational Therapists, Physical Therapists, Speech Therapists…)
Social Workers/Counselors/Psychologists
School Administrators
Other (write in)
Target Audience Cont.(Highlight one or as many age groups your session will address.)
My session will target issues related to the following:
Newly Diagnosed
Childhood
Adolescence
Transition
Adulthood
Other (write in)
Presenter Name(s) and Affiliation(s) (Please list your name and credentials as you would like
them to appear in the program.)
Contact information (Please list the name, address, telephone, fax and email of the contact person for
this session.)
BriefBiography(Please provide a short biography for each presenter. (30 word maximum for each
presenter)
Handouts- It is extremely important that all handouts are submitted by the deadline. Handouts can be emailed or faxed to Debbie Page or fax 410-583-8736. The deadline for receipt of handouts is March 15, 2016.
(Please indicate below whether or not you will have handouts for your session)
Agreement– By submitting this proposal, I agree to abide by all policies and regulations as outlined above. I agree to present at any time during the conference at which my presentation is scheduled. I understand that not presenting at the agreed time and date may result in my not being invited to present at future conferences. I understand that no payment is given for presentation(s), nor is there reimbursement for related expenses.
(Highlight one) I agree I disagree
Full name:
Date of Birth:
Notification You will be notified in February 2016 as to the status of your proposal.

Thank you for your commitment to participate in Honestly Autism Day 2016.

Your experience, expertise and willingness to share with others are what make our event a success.

Autism Society of Baltimore-Chesapeake