Skinship Abstracts Survey

Thank you for your interest in submitting an abstract for the IAIM Annual Conference 2012.

You can submit as many abstracts as you like, but each abstract must be submitted on a new form.

Should you require any assistance completing this form, please phone (02) 62624346 or email alice.campbell@iaim.org.au

Please enter your name and professional information.

Please enter your name and professional information. Title
First Name
Surname
Position
Organisation/ Institution

Please provide your contact details

Please provide your contact details Address 1:
Address 2:
City/Town:
State/Province:
Post Code:
Country:
Email Address:
Phone Number:

Please provide a short (max. 150 words) biography, outlining your relevant professional or research experience, qualifications and interests.

If you have already provided a biography as part of a previous abstract submission, please type "already provided".

Please provide a short (max. 150 words) biography, outlining your relevant professional or research experience, qualifications and interests. If you have already provided a biography as part of a previous abstract submission, please type "already provided".

Please select which type of presentation your abstract is for:

Please select which type of presentation your abstract is for: Oral Paper (30 mins)

Oral Paper (1 hour)

Poster presentation

Conference Workshop

Preconference Workshop

Heart & Soul

Title of presentation

Abstract (250 - 500 words max.).
(If you are submitting a proposal for a Preconference workshop OR a Heart & Soul activity, please use this space to provide a description/ overview of the activity).

Abstract (250 - 500 words max.). (If you are submitting a proposal for a Preconference workshop OR a Heart & Soul activity, please use this space to provide a description/ overview of the activity).

Please provide the names of all proposed presenters (including yourself).

Please provide the names of all proposed presenters (including yourself). Name of presenter 1
Name of presenter 2
Name of presenter 3

Please provide the name(s) of the authors of the paper, if different to the names of the presenters given above. Otherwise, leave blank.

Please review the following conditions, and check each button if you agree. Acceptance of all these terms and conditions is required in order for your abstract to be considered:

Please review the following conditions, and check each button if you agree. Acceptance of all these terms and conditions is required in order for your abstract to be considered: I AGREE that submission of my abstract/ proposal does not guarantee acceptance

I AGREE that I am the legitimate author of this abstract and proposed paper, and that I am not in breach of any copyright, intellectual property or other laws by submitting my abstract

I AGREE that, if my proposed presentation includes original research, proper and full ethics processes have been applied, including consent from participants to include case studies, videos, photos or narratives if applicable.

I UNDERSTAND that the IAIM maintains privacy and confidentiality, and will not divulge my personal information or intellectual property without my consent.

I UNDERSTAND that, if accepted, I will be responsible for all costs incurred for attending the conference.

I UNDERSTAND that, if accepted, I may withdraw my abstract in writing before the final withdrawal date of 10 June 2012.

I AGREE to IAIM publishing my abstract in the conference program.

For Pre-Conference Workshops Only...

For Pre-Conference Workshops Only... I AGREE to being contacted by IAIM to discuss the terms and conditions of fees payable to me, for conducting a pre-conference workshop.

The following questions are OPTIONAL. Please check all the statements that you agree with.

The following questions are OPTIONAL. Please check all the statements that you agree with. I CONSENT to IAIM placing my name on an email list that will be used to distribute information about this conference.

I would like to be NOTIFIED about future IAIM conferences and events.

Skinship Abstracts