ATIA 2025 Prentke Lecture

The Annual Edwin and Esther Prentke AAC Distinguished Lecture

Hosted by: ATIA

ATIA 2025 Prentke AAC Distinguished Lecture Nomination Form

Nominator Information

Nominator or Sponsor Name:(Required)

First Last

Nominator or Sponsor Email:(Required)

Nominator or Sponsor Organization (if appropriate):

Nominator or Sponsor Phone:(Required)

Nominator Relationship to Nominee (You may nominate yourself.)(Required)

Nominator Affirmations

Nominator Affirmations(Required)

I affirm that I am the Nominator of this Nomination.

I affirm that my nominee has been contacted regarding my nomination, has agreed to be nominated, and if selected, is willing to participate in the ATIA 2025 Conference in Orlando, Florida, on Friday, January 31, 2025 at 11:30 am - 12:30 pm Eastern Time (in-person or virtually).

I affirm that my nominee, if selected, understands they will present a 60-minute session that includes a 40-minute Lecture followed by a 20-minute Question & Answer period with attendees.

I affirm that my nominee has been informed of and agreed to the financial award that is part of the Lecture program.

Nominee Profile Information

Nominee Name:(Required)

First Last

Nominee Email:(Required)

Nominee Organization (if appropriate):

Nominee Phone:(Required)

Nominee Achievements

List and/or describe the nominee's achievements in all of the areas that apply: 1. Education 2. Articles and Publications 3. Participation in Professional Projects 4. Previous and Current Employment 5. Advocacy Activities 6. Community Service / Volunteer Activities 7. Leisure and Recreational Activities 8. Mentoring 9. Other Areas

Nominee's Achievements: Upload Document(s). You may upload a document or enter details in the text box below.

Max. file size: 50 MB.

Nominee's Achievements (Synopsis - 750 words maximum). You may enter details in the text box below or upload a document above.

Nominee's Public Speaking Experience

Describe the nominee's public speaking experience, such as speaking to community groups, lectures with university classes, at conferences, etc.. Include any public speaking experience that is conducted face-to-face or virtually (e.g., through Zoom, Skype, Facebook, online chat events, etc.).

Nominee's Public Speaking Experience (Synopsis - 100 words maximum)

Nominee's Experience with Live Question & Answer (Q&A)

The nominee must have the ability to participate in a 20-minute, spontaneous Q&A session with the audience following their lecture. Describe how comfortable and capable the nominee will be with answering a range of questions, from the audience, during the live presentation.

Nominee's Ability to Participate in a Q&A with the Audience (Synopsis - 100 words maximum)

Nominee's Video

A video recording is required as part of the nomination process. Please provide a three- to five-minute video of the nominee answering the following two questions: 1. “How would your friends describe you?” 2. "What would you do if you won the lottery?” The nominee can know the questions in advance and think about their answers, but they must express answers spontaneously. The nominees’ answers CAN NOT be prestored sentences. This is done to confirm the nominee's ability to answer questions generatively following their lecture. The video MUST meet these three criteria to qualify for consideration: 1. Be three to five minutes in length. 2. Be the answers to the two questions listed above. 3. Be spontaneously expressed answers. (NO PRE-STORED ANSWERS). You may upload a .mp4 video file or provide a link to a recording, e.g., on YouTube, whichever is more convenient. Please be sure to include any access information to the video.

VIDEO FILE LINK: Please provide a LINK to a video file of the 3- to 5-minute video of Nominee answering the above two questions. The link can be to YouTube or a different platform. If there are any passwords required to access the video, please include that information.

VIDEO FILE UPLOAD: Please upload a video file of the 3- to 5-minute video of Nominee answering the above two questions. The video file should be in a .mp4 format. If there are any passwords required to access the video, please include that information in the text box above.

Max. file size: 50 MB.

Lecture Information: We encourage (but do not require) nominations where the Lecture is focused on one of the following 2025 Conference Themes: Social Inclusion & User Perspectives

Lecture Title (this may be revised later - 15 words maximum)

Lecture Abstract (100 words maximum). You may enter text for the Lecture abstract in the text box below or you may upload a document with the information.

Lecture Abstract File Upload (100 words maximum). You may enter text for the Lecture abstract in the text box above or you may upload a document with the information.

Max. file size: 50 MB.

Learning Objectives (list 3)

Learning Objective #1

Learning Objective #2

Learning Objective #3

Please use the Submit button to submit your nomination form. You will receive an email copy of the submitted form. If you have any questions, please email marketing@atia.org.

ATIA 2025 Prentke Lecture

The Annual Edwin and Esther Prentke AAC Distinguished Lecture

Hosted by: ATIA

Sponsored by:

ATIA 2025 Prentke AAC Distinguished Lecture Nomination Form

Nominator Information

Nominator Affirmations

Nominee Profile Information

Nominee Achievements

Nominee's Public Speaking Experience

Nominee's Experience with Live Question & Answer (Q&A)

Nominee's Video

Lecture Information: We encourage (but do not require) nominations where the Lecture is focused on one of the following 2025 Conference Themes: Social Inclusion & User Perspectives

Learning Objectives (list 3)