Presentation Submission Form

We encourage Breakout session & Poster presentation submissions on a wide array of topics related to children and youth with behavioral or mental health needs.

Breakout Submissions Due: June 15

Poster Submissions Due Extended: October 31

Presentation Proposal Form

If submitting a Breakout Session

(Title of Session: 12 words is ideal, 20 words max)
Brief Description of Session: 3-6 sentences. MSLBD reserves the right to edit description to fit the space available in the program.

Level of the Proposed Session
Identify the intended experience level of the audience with this subject.
General Submission or Strand
Session is identified for a special strand or general submission ((Breakout Sessions Only)
Intended Audience
Please select all that apply
Is Presenter a BCBA?
Are you, or a co-presenter for the proposed presentation a Board Certified Behavior Analyst (BCBA)? (Breakout Sessions Only)
If one or more presenters are BCBAs, and if approved would you like this presentation to be considered for BCBA continuing education credit?
Sessions that offer BCBA CEUs must provide content that goes beyond what is required under the current BCBA Task List and be consistent with the BCBA Guidelines for Responsible Conduct. The session can address any aspect of behavior-analytic practice, science, methodology, and theory. Offering your session for BCBA CEUs does not require additional responsibilities and provides a needed service to BCBAs wishing to maintain certification.
Session Outcomes
Detailed Proposal Description
Attach a Word or PDF file. Describe in more detail the nature of the presentation and how it would benefit the audience including how the session is grounded in research-based practice. No more than 2-3 single spaced pages including references. All presentations must be aligned to research-based practices and referenced.
No file selected

Presenter Information
First & Last Name, Degree, Institution, City, State. List in program order for each individual. Example of Listing: Reece Peterson, PhD, Elisabeth J. Kane, MA, University of Nebraska-Lincoln, Lincoln, NE; Michael Couvillon, PhD, Drake University, Des Moines, IA; Joseph B. Ryan, PhD, Clemson University, Clemson, SC
Last Name, First Name, email address
Last Name, First Name, email address
Last Name, First Name, email address
Last Name, First Name, email address
Last Name, First Name, email address
Information for MSLBD

Sessions included in the Symposium program are not to be used for promoting commercially and/or individually produced materials or services. Display tables are available in the exhibit space at a fee for this purpose.

Form Review