SYNERGY Conference ~ October 2-4, 2019

Sponsored by  OSDA & PAR 

The Synergy Conference will be held at Kalahari Resorts & Conventions, in Sandusky, OH October 2-4, 2019 (Wednesday-Friday.) We have been providing training and conferences to professionals and advocates in the field of developmental disabilities for many years. This is the opportunity to share your knowledge and expertise with other people working or receiving services in the field of DD, as well as allow you to learn of new developments in the field.

We look forward to receiving your presentation proposal by March 28, 2019, for certification approval.

Guidelines to Present:

1. 1. Panel presentations that include individuals with disabilities are highly valued. If you are doing a panel session, please limit the presenters on the panel.
   2. Presenters are invited to attend the conference sessions on the day of their presentation at no charge; lunch is included. Except for the free conference registration on the day of your presentation, no compensation or reimbursement is given to presenters, other than to keynote presenters.
   3. We ask for proposals to be complete and received by the deadline. (Includes session title, description, name, title, address, phone number, email address etc. for each speaker.) Include a resume for each speaker to be used for certification applications. (Information needed is education, degree, work experience, licenses, past presentations, etc.)
   4. The conference committee will review the submitted information and schedule the sessions. The primary presenter will be notified. It is up to the primary presenter to contact and inform the other speakers about their session.

If you are human, leave this field blank.

Title of Presentation *

Presentation Description *

Indicate length of your session * Either One or Two Hours One Hour Only Two Hours Only 1.5 Hour

Any other considerations:

Flip Chart

Yes No

Extra Table

Yes No

Proposals due by March 28, 2019.

Please be sure to meet the deadline, so the conference committee can approve the session and certification applications can be submitted for approval. 

EQUIPMENT NEEDS:  Synergy is happy to provide the following audio-visual equipment for your presentation at no cost. However, a rental charge for equipment is charged to the organization. Due to these increasing costs, the Conference Committee asks that you limit your AV request to only the equipment you will use: Note: We will provide an LCD projector for PowerPoint, a laptop computer and a screen in each session room. Please include your additional AV equipment request with this proposal.

Will your session include music or other amplified audio, or be very interactive so as to disrupt other sessions? * No Yes

Personal Information for Primary Presenter

First Name *

Last Name *

Title *

Agency Name *

Address 1 *

Address 2

City *

State *

Zip/Postal code *

Phone *

Email *

Name of County Agency Located In *

Have you presented at PAR before? * Yes No

Provide your resume or upload it below. (Needed for certification purposes.) Bios are not accepted. *

Upload Resume

Drop a file here or click to upload Choose File

Maximum upload size: 20.97MB

Add a Co Presenter? Yes No

ROOM SETUP: All rooms will be set up theater, rounds or classroom style. Due to award luncheons and consecutive sessions, special room requests may not be possible.

Personal Information for Co-Presenter 1

First Name

Last Name

Title

Agency Name

Address 1

Address 2

City

State

Zip/Postal code

Phone

Email

Name of County Agency Located In

Have you presented at PAR before? Yes No

Provide your resume or upload it below. (Needed for certification purposes.) Bios are not accepted.

Upload Resume

Drop a file here or click to upload Choose File

Maximum upload size: 20.97MB

Another Co Presenter? Yes No

Personal Information for Co-Presenter 2

First Name

Last Name

Title

Agency Name

Address 1

Address 2

City

State

Zip/Postal code

Phone

Email

Name of County Agency Located In

Have you presented at PAR before? Yes No

Provide your resume or upload it below. (Needed for certification purposes.) Bios are not accepted.

Upload Resume

Drop a file here or click to upload Choose File

Maximum upload size: 20.97MB

Add a 3rd Co Presenter? Yes No

Personal Information for Co-Presenter 3

First Name

Last Name

Title

Agency Name

Address 1

Address 2

City

State

Zip/Postal code

Phone

Email

Name of County Agency Located In

Have you presented at PAR before? Yes No

Provide your resume or upload it below. (Needed for certification purposes.) Bios are not accepted.

Upload Resume

Drop a file here or click to upload Choose File

Maximum upload size: 20.97MB

Add a 4th Co Presenter? Yes No

Personal Information for Co-Presenter 4

First Name

Last Name

Title

Agency Name

Address 1

Address 2

City

State

Zip/Postal code

Phone

Email

Name of County Agency Located In

Have you presented at PAR before? Yes No

Provide your resume or upload it below. (Needed for certification purposes.) Bios are not accepted.

Upload Resume

Drop a file here or click to upload Choose File

Maximum upload size: 20.97MB

Add a 5th Co Presenter? Yes No

Personal Information for Co-Presenter 5

First Name

Last Name

Title

Agency Name

Address 1

Address 2

City

State

Zip/Postal code

Phone

Email

Name of County Agency Located In

Have you presented at PAR before? Yes No

Provide your resume or upload it below. (Needed for certification purposes.) Bios are not accepted.

Upload Resume

Drop a file here or click to upload Choose File

Maximum upload size: 20.97MB

Add a 6th Co Presenter? Yes No

Additional Information for Co-Presenter 6

First Name

Last Name

Title

Agency Name

Address 1

Address 2

City

State

Email

Name of County Agency Located In

Have you presented at PAR before? Yes No

Provide your resume or upload it below. (Needed for certification purposes.) Bios are not accepted.

Upload Resume

Drop a file here or click to upload Choose File

Maximum upload size: 20.97MB

Add a 7th Co Presenter? Yes No

Additional Information for Co-Presenter 7

Last Name

Title

Agency Name

Address 1

Address 2

City

State

Zip/Postal code

Phone

Email

Name of County Agency Located In

Have you presented at PAR before? Yes No

Provide your resume or upload it below. (Needed for certification purposes.) Bios are not accepted.

Upload Resume

Drop a file here or click to upload Choose File

Maximum upload size: 20.97MB

Website/URL