Symposium organizers:If this is helpful, you may send this document to the presenter of each of the papers in your symposium to collect the needed information from them, to submit (by February 15, 2017) for the ACBS World Conference 16 in Montreal, Canada. (Conference, July 26-29, 2018)

Please note: the symposium organizer will then submit all of the information for the session to ACBS via the submission link (prior to the February 15 deadline):

The full symposium must be submitted via the link above. Emailed submissions cannot be accepted.

  1. Primary Topic Area:

☐Clinical Interventions and Interests / ☐Prevention and Community-Based Interventions / ☐Performance-enhancing interventions
☐Behavioral medicine / ☐Educational settings / ☐Evolution
☐Organizational behavior management / ☐Supervision, Training and Dissemination / ☐Professional Development
☐Theoretical and philosophical foundations / ☐Functional contextual neuroscience and pharmacology / ☐Functional contextual approaches in related disciplines
☐Relational Frame Theory / ☐Other
  1. Secondary Topic Areas:

☐Clinical Interventions and Interests / ☐Prevention and Community-Based Interventions / ☐Performance-enhancing interventions
☐Behavioral medicine / ☐Educational settings / ☐Evolution
☐Organizational behavior management / ☐Supervision, Training and Dissemination / ☐Professional Development
☐Theoretical and philosophical foundations / ☐Functional contextual neuroscience and pharmacology / ☐Functional contextual approaches in related disciplines
☐Relational Frame Theory / ☐Other
  1. Topic Sub-Categories (Ex. PTSD, Children, Buddhism, Depression, Mindfulness, IRAP, OCD, etc.):

______

  1. Paper Title: ______
  1. Paper abstract (please limit your abstract to 175 words or less):
  1. Please list one educational objective:

______

Educational objectives, or educational outcomes, are statements that clearlydescribe what the learner will know or be able to doas a result of having attended an educational program or activity. Educational objectives must be observable and measurable. Educational objectives should (1) focus on the learner, and (2) contain action verbs that describe measurable behaviors. (ex. “Distinguish the difference between XXX and XXX.” “Conduct a full-scale values assessment with clients.”)

  1. First Author Name:

First Author Affiliation:

First Author Email:

Will this person be presenting this submission at the conference? Yes No Tentative

Second Author Name:

Second Author Affiliation:

Second Author Email:

Will this person be presenting this submission at the conference? Yes No Tentative

Third Author Name:

Third Author Affiliation:

Third Author Email:

Will this person be presenting this submission at the conference? Yes No Tentative

Fourth Author Name:

Fourth Author Affiliation:

Fourth Author Email:

Will this person be presenting this submission at the conference? Yes No Tentative

Fifth Author Name:

Fifth Author Affiliation:

Fifth Author Email:

Will this person be presenting this submission at the conference? Yes No Tentative

Sixth Author Name:

Sixth Author Affiliation:

Sixth Author Email:

Will this person be presenting this submission at the conference? Yes No Tentative

Seventh Author Name:

Seventh Author Affiliation:

Seventh Author Email:

Will this person be presenting this submission at the conference? Yes No Tentative

Eighth Author Name:

Eighth Author Affiliation:

Eighth Author Email:

Will this person be presenting this submission at the conference? Yes No Tentative

  1. Please provide a CV for all presenters (not every author on the study). Please note: CVs can be up to 18 months old.
  1. Send this form (and your CV) to the symposium organizer, so that they may complete the online submission form here:

The full symposium must be submitted via the link above. Emailed submissions cannot be accepted.