2025 WI Brain Injury Conference - Speaker Proposal

2025 Wisconsin Conference on Brain Injury - Brain Injury: Care, Connection & Community

Unless your proposal is to address Brain Injury 101 (introduction to brain injury), please assume participants have knowledge of brain injury and omit basic brain injury information in your proposal/presentation.

If you have any questions about the 2025 WI Brain Injury Conference, please contact us at [email protected].

1. Presenter(s) contact information: (If co-presenting, each presenter needs to complete this form)

Your name and credentials: *

Your email address: *

Your address:

Your telephone number:

Education and/or organizational affiliation:

List the school you attend and/or where you work

2. Title of Presentation:

3. Overview of Presentation: *

Please describe your presentation in 2 to 5 sentences. Do not exceed 50 words.

4. Presentation Learning Objectives:

Copy the following and paste it in your browser for help with learning objectives: https://pmc.ncbi.nlm.nih.gov/articles/PMC5944406/#:~:text=Bloom's%20Taxonomy%20describes%206%20levels,educators%20use%20within%20learning%20objectives.

5. Intended Audience:

e.g.: clinical, case managers, social workers, brain injury survivors, caregivers, etc.

6. Preferred scheduling time:

Monday AM or PM? Tuesday AM?

7. Speaker(s) biographical information:

4-5 sentences

8. If co-presenting, please indicate with whom and contact information:

If co-presenting, each presenter needs to complete this form

Leave this field blank

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2025 WI Brain Injury Conference - Speaker Proposal

2025 Wisconsin Conference on Brain Injury - Brain Injury: Care, Connection & Community