Association of Collegiate Educatorsin Radiologic Sciences

PO Box 150287

Ogden UT 84415-0287

Course and Faculty Proposalfor the

Forty-FourthACERT Annual Conference

February 6-8, 2019

The Orleans - Las Vegas, Nevada

To continue to provide excellent continuing education at the annual conference, the ACERT Board of Directors invites you or someone you know to submit a course and faculty proposal for the 44thACERT Annual Conference. This form must be completed by June 1, 2018 and electronically submitted to: .

The reason a course and faculty proposal may be selected for the annual conference includes new information, updated information, information which meets a specific need for one of the three audiences (program faculty, clinical faculty/instructors, or students).

Preference will be given to ACERT members.

Deadline Date: June 1, 2018.

Presenter’s Information

Complete this section for the Primary Presenter and add this section for each Co-Presenter.

Name:______

Academic Degree/Credentials: ______

Position/Title: ______

Institution/Organization:______

Address 1: ______

Address 2: ______

City: ______State: ______Zip: ______-______

Email: ______

Telephone 1: ______ Work  Home  Cell  Other

Telephone 2: ______ Work  Home  Cell  Other

Presentation Information

Title (10 Word Limit):______

Presentation Length:All presentations are 1.0 hour in length. In special cases, a speaker may request 2 concurrent 1-hour lectures. Applicants who are invited to present, will receive notification of the time allotted for the course.

Target Audience:Students Program Faculty Clinical Faculty/Instructor

Add a 2 to 3 sentence summary reiterating the target audience and how the topic will benefit them.

Required Attachments

Abstract:Attach an abstract describing the presentation. The 6-10 sentence abstract should not exceed a 150-word limit.Be as specific as possible about the material you will cover in the course.

Experience:Attach a curriculum vitae/resume highlighting your conference presentation experience.

Compensation

Faculty not representing another professional organization or company receive complimentary conference registration.A $100.00/hour honorarium is given for the lecture, not per speaker. Faculty representing another professional organization or company will receive complimentary conference registration. Travel expenses and hotel accommodations expenses are not compensated.

Notification

The ACERT CE Coordinator will notify applicants if lectures were accepted or denied by the Board of Directors shortly after the mid-year Board meeting in June.

Deadline Dates

By submitting this course and faculty proposal, you agree to meet these faculty deadline dates:

August 1, 2018An outline and objectives for your lecture must be sent to the ASRT CE Coordinator for ASRT CE approval.

November 1, 2018You must complete complementary conference registration.

Although registration is compensated, you must complete the online registration process. This will keep you informed of the activities for the conference and allows the Conference Registration Manager to print a badge and meal tickets. You will receive instructions from the ASRT CE Coordinator in mid-October.

Note:AV equipment and a computerare provided. A list of available computer software and specifications will be sent in mid-January. Please bring the presentation on a jump-drive. A speaker readyroom is available and it is strongly suggested that you practice withthe equipment there prior to the lecture time.

Please submit the completed form and the 2 attachments (Abstract and CV/resume) electronically to:.