Submit a Webinar - Assistive Technology Industry Association

Title of Online Course*

Overview*

Please provide a high level overview description of this Online Course (approximately 50-100 words).

Strand Category*

Please specify in which Strand Category this online course topic should be placed.

AT for Physical Access and Participation
Augmentative and Alternative Communication
Education & Learning: Early Intervention – 12
Leadership
Mainstream & Web Accessible Technologies
Research
Transition and Workplace Accessibility
Vision and Hearing Technologies

Length*

Please indicate if you plan for a 60 minute or 90 minute online course.

1 hour
1.5 hours

Please indicate if this is a Member Sponsored Online Course

Yes
No

Target Audience*

Please select all that apply.

Experience Level*

Beginner
Intermediate
Advanced
All - Beginner/Intermediate/Advanced

Content Area*

Basic Communication Process Area
Professional Area
Related Area
All

Learning Outcomes

Learning outcomes consist of a set (usually three) of statements that define the learning that the activity participants can expect to experience. Learning outcomes statements generally take the form of the following example for an hour lecture: "X. Participants will be able to describe (VERB) the three language representation methods (OBJECT) used in AAC assistive technology."

Learning Outcome 1*

Learning Outcome 2*

Learning Outcome 3*

Learning Outcome 4

Primary Speaker First Name*

Primary Speaker Middle Name/Initial

Primary Speaker Last Name*

Primary Speaker Email*

Primary Speaker Company or Organization Name

Primary Speaker Title

Primary Speaker Credentials

Primary Speaker Phone Number

Primary Speaker Cell Phone Number

Primary Speaker Facebook Page

Primary Speaker Twitter Page

Would you be interested in possibly participating in an ATIA Twitter Chat?

Yes
No

Primary Speaker Bio*

Please provide the speaker's biography (approximately 100-200 words).

Primary Speaker Photo*

Please upload a cropped headshot file (JPG or PNG format). Files can be cropped for free using the online service Pixlr. Please name files using first and last name separated by a dash (e.g. jane-smith.jpg). Maximum file size 2MB.

Primary Speaker Address Line 1

Primary Speaker Address Line 2

Primary Speaker City

Primary Speaker State

Primary Speaker State (Other)

Primary Speaker Zip

Co-Speaker First Name

Co-Speaker Middle Name/Initial

Co-Speaker Last Name

Co-Speaker Email

Co-Speaker Company or Organization Name

Co-Speaker Title

Co-Speaker Credentials

Co-Speaker Phone

Co-Speaker Cell Phone Number

Co-Speaker Twitter Page

Co-Speaker Facebook Page

Would you be interested in possibly participating in an ATIA Twitter Chat?

Yes
No

Co-Speaker Bio

Approximately 100-200 words.

Co-Speaker Photo

Please upload a cropped headshot file (JPG or PNG format). Files can be cropped for free using the online service Pixlr. Please name files using first and last name separated by a dash (e.g. jane-smith.jpg). Maximum file size 2MB.

Co-Speaker Address Line 1

Co-Speaker Address Line 2

Co-Speaker City

Co-Speaker State

Co-Speaker State (other)

Co-Speaker Zip

Online Course Date Options

Please suggest at least three dates that you would be available to conduct this online course in order of preference. (Online courses are now being scheduled for the next twelve months. Tuesday, Wednesday or Thursday are the best days of the week and all online courses will be held at 3:30 PM Eastern Time.)

Online Course Date 1*

Online Course Date 2*

Online Course Date 3*

Additional Information/Comments

Please provide any additional information or comments here. (For example, if you feel this topic should be scheduled multiple times throughout the year, etc.)

Additional Information

If the form has not provided enough space to allow for all details regarding this online course, please upload a Word document with any additional information. NOTE: The file name should not have any spaces in it.