Institute Poster Submission Form

Please note the following form is for poster submissions only; those requesting 60 or 90 minute presentation slots should consult the program brochure. The form itself can be downloaded, or you can use the following as a template. Please submit your poster proposal in MSWord format to Dr. John Beckenbach or Dr. Shawn Patrick.

Download form here

International Association of Marriage and Family Counselors

Oxford Family Counseling Institute

Poster Session Application for University Students

Proposals are due ________________, 2016 for full consideration; proposal received after this date will be consider if space is available.

Presenter:

First Name: _______________________Last Name: __________________________________

Mailing Address _______________________________________________________________

_______________________________________________________________                                                 Include, city, state, zip code

Institution Name: ______________________________________________________________

Degree Program/track:__________________________________________________________

Degree /Credentials Attained: ____________________________________________________

E-Mail Address: _______________________________________________________________

Contact Telephone Number:  ____________________________________________________

 

 

If applicable, co-presenter

First Name: _______________________Last Name: __________________________________

Mailing Address _______________________________________________________________

_______________________________________________________________                                                 Include, city, state, zip code

Institution Name: ______________________________________________________________

Degree Program/track:__________________________________________________________

Degree /Credentials Attained: ____________________________________________________

E-Mail Address: _______________________________________________________________

Contact Telephone Number:  ____________________________________________________


 

Poster Session Abstract Page                                                                                                    This page will be used for the review of the Poster Proposal to determine acceptance.  Incomplete submissions will not be considered.

Poster Session Title: _____________________________________________________________

Program Description (20-30 words max: to be used in the Conference Program:

 

 

 

 

 

Program Outline or Summary: Please provide a one-page summary of the proposed poster presentation.

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