Institute on Violence, Abuse & Trauma

22nd Summit Online Application

22nd Summit Online Submission Form

Submission Application for the 22nd International Summit on Violence, Abuse & Trauma

September 21-27, 2017| San Diego, California

Hyatt Regency at Aventine La Jolla

Thank you for your interest in participating in the 22nd International Summit on Violence, Abuse & Trauma. By participating in IVAT's 22nd Summit, you agree to the terms and conditions set forth below including the Violence, Abuse and Trauma disclaimer.

General Terms and Conditions

You agree to be present at the 22nd International Summit on Violence, Abuse & Trauma only for lawful purposes and in accordance with professional, ethical guidelines.

Defamation/Libel Disclaimer

The following applies to all workshops, keynote panels, presentations, poster sessions, video or audio material, bulletin board postings, ideas, suggestions, concepts or other material submitted by you to us ("content"): (a) you must own or have the right to submit content for presentation at the 22nd International Summit on Violence, Abuse & Trauma and all content submitted by you must be legal, honest, truthful, and comply with IVAT's objectives and all applicable laws, regulations, standards of codes of practice; and (b) you must ensure that all content submitted to us does not infringe copyright, design, privacy, publicity, data protection, trade mark, or any other rights of any third party, and is not obscene, abusive, threatening, libelous, or defamatory of any person; IVAT has the right to monitor content and may edit, reject, or remove content if we believe it does not comply with the above. IF these terms and conditions are not accepted in full, you do not have IVAT's permission to participate in the Summit.

Before submitting, please read, and accept the following additional terms: Because our previous attendees have expressed interest in having more interaction with speakers (in addition to their formal presentation times), we request that all speakers register and make an effort to be present for at least one day in addition to the day of their scheduled programming. We require that the online registration process be completed by June 1, 2017 or be subject to cancellation. If selected as a presenter, you are always in the visible eye of attendees and they will look to you for examples of professional behavior. In order to create a healthy learning environment, please remember the following code of behavior:

• Be open to hearing and exploring ideas regardless of the ideological perspective, academic degree absence of one, or professional discipline of other presenters, whose views and opinions may differ from yours.
• Maintain a positive atmosphere of mutual respect and consideration while at the Summit.
• Strive to share helpful ideas, suggestions or improvements.
• Avoid negative, unhealthy or unproductive criticism.
• Use victim-sensitive language.
• Be intolerant of gossip and rumor spreading about any participants,author/exhibitors, speakers, event organizers or anything associated with the Summit.
• Be intolerant of inappropriate sexualized talk, contact and predatory behavior.
• Be sensitive and respectful of the military and law enforcement presence at the Summit.

By typing your initials here, you are agreeing to accept the Code of Conduct and Terms listed above.
Please choose the top 2 tracks that best define the topic you plan to present or are included and integrated among topics.
Please choose the top 2 tracks that best define the topic you plan to present or are included and integrated among topics.
POSTER: Information on a particular piece of original research or a program, and informal discussion of your visual display on a large poster board during the Poster Session. RESEARCH OR PROGRAM PRESENTATION: An original piece of research, program description, or other presentation in lecture format. Usually 25 - 45 minutes. VIDEO PRESENTATION: Showing of a video followed by discussion by presenters/producers. WORKSHOP: Presentations that are didactic and offer practical experience to help participants increase their understanding and skill in a particular area, topic, or program. Usually conducted by 1 - 4 individuals and tend to be experiential in nature, and more in-depth. Usually 45 - 90 minutes.
Time Frame (Please select your first choice)
Time Frame (Please select your second choice)
Audio/Visual Permissions (Please check ALL that apply)
If you selected yes, please complete the book request form (separate form)
Primary Presenter's Full Name *
Primary Presenter's Full Name
Primary Presenter's Phone *
Primary Presenter's Phone
Primary Presenter's Address *
Primary Presenter's Address
If you attended more than one, please write the years you attended.
Do you have any travel restrictions or time restrictions that we should be aware of when scheduling your presentation or talk? Do you have any specific time conflicts between September 21-27, 2017? Please specify.
Co-Presenter (1)
If you do not have a co-presenter, please skip this section.
Co-Presenter (1) Name
Co-Presenter (1) Name
Co-Presenter (1) Phone
Co-Presenter (1) Phone
Co-Presenter (1) Address
Co-Presenter (1) Address
If you attended more than one, please write the years attended.
Do you have any travel restrictions or time restrictions that we should be aware of when scheduling your presentation or talk? Do you have any specific time conflicts between September 21-27, 2017? Please specify.
Co-Presenter (2)
If you do not have another co-presenter, please skip this section
Co-Presenter (2) Name
Co-Presenter (2) Name
Co-Presenter (2) Phone
Co-Presenter (2) Phone
Co-Presenter (2) Address
Co-Presenter (2) Address
If you attended more than one, please write the years attended.
Do you have any travel restrictions or time restrictions that we should be aware of when scheduling your presentation or talk? Do you have any specific time conflicts between September 21-27, 2017? Please specify.
Co-Presenter (3)
If you do not have a co-presenter, please skip this section.
Co-Presenter (3) Name
Co-Presenter (3) Name
Co-Presenter (3) Phone
Co-Presenter (3) Phone
Co-Presenter (3) Address
Co-Presenter (3) Address
If you attended more than one, please write the years attended.
Do you have any travel restrictions or time restrictions that we should be aware of when scheduling your presentation or talk? Do you have any specific time conflicts between September 21-27, 2017? Please specify.
Content
Please review the Call for Submissions for samples abstracts, objectives, and outlines.
Please copy and paste or type your abstract in the text field below. Abstracts are limited to 50 words.
Objectives
Objectives: Please enter three objectives for your submission. Use the three separate entry boxes for each:
Using the example given in the Call for Submissions, please copy and paste/type a summary of your submission
Please copy and paste or type a three-tiered OUTLINE of your submission below
Please copy and paste or type a one page BIO SKETCH of you and your co-presenters below (please limit to one page for all co-presenters)
End of application
Please submit below. If you are submitting a book request form, please download the form and email that form directly to Kelsey Coughlin (kelsey.coughlin@alliant.edu.

If you need a book request form, you may download that form here.