NBNA - Call for Abstracts Form

nbna National Black Nurses Association, Inc.
8630 Fenton Street, Suite 330, Silver Spring, MD 20910 · www.nbna.org · nbna@erols.com

A
U
D
I
O

V
I
S
U
A
L

C
H
E
C
K
L
I
S
T

Name: ________________________________ Degree(s) _______________
(i.e., RN, PhD, FAAN, etc.)
Title of Presentation: ____________________________________________

Audio Visual:

________ Slide projector

________ LCD projector

________ Overhead projector

________ Lavalier microphone

________ Pointer

________ Other (specify) ___________________________________
*NBNA WILL NOT PROVIDE LAPTOP COMPUTERS*

We require 150 copies of handouts. Please bring your handouts with you to the Workshop. Please submit original plus one file copy by May 1, 2006.

Requirements Checklist - enclosed are the following:

________ Abstract and Abstract Submission Form

________ Speaker Registration Form

________ Presenter objectives and content outline

________ Curriculum Vitae

________ Biographical sketch

________ Consent Form (to audiotape/videotape)

________ Disclosure Form

*Abstracts WILL NOT be accepted without these completed forms and materials *

PLEASE SUBMIT MATERIALS TO:
Dianne Mance, Conference Services Coordinator
National Black Nurses Association
8630 Fenton Street, Suite 330, Silver Spring, MD 20910
Fax: (301) 589-3223