Call for Proposals: NOW OPEN!

Conference Date and Location: October 24 & 25, 2019
Hartford/Windsor Marriott Airport Hotel, Windsor, CT

Conference Theme: "Invest in Their Future!”

Two Ways to Submit Your Proposal!

  1. Scroll down to fill out the online form
  2. Or print this form and fill it out, scan it and email it to:, fax it to 413.586.6654 or mail it to Clarke Mainstream Services, 45 Round Hill Rd, Northampton, MA 01060.

Deadline for Submission: February 25, 2019

Please submit your proposal for Learning Lab Product Demo HERE.

Presentation Format: 90-minute Mini-Workshops - offered in the morning (10:30 am - 12pm) and repeated in the afternoon (1:15 pm - 2:45 pm). This will allow sufficient time for an informative presentation including time for questions and/or discussion if needed.


1. Title of Proposal: (Successful titles convey the subject matter, pique the interest of the potential audiences and are not too long)

2. Proposal Description: (Minimum 250 word description that will be shared with the planning committee)

3. Workshop Outline: (Include key issues to be addressed)

4. Primary Presenter:

Co-Presenter Information

(If there are additional co-presenters, please submit required information for each.)

5. Speaker Agreement:
If selected, Clarke Mainstream Services will ask each presenter to sign a presenter agreement based on the following requirements:

  • Primary presenters receive a $250 honorarium and are reimbursed (up to $250) round trip mileage or receive a travel stipend (up to $250) when traveling from out of state via train or air, plus hotel accommodations the night prior to their presentation at the conference hotel site. (Due to limited funding, Clarke is only able to provide one presenter per workshop with an honorarium and travel stipend - additional presenters are welcome, but will not be compensated.)
  • Each presenter will provide a brief biography along with their current CV/Resume.
  • Presenters must provide their own laptop for presentations.
  • Presenters are responsible for their meals, airport parking and ground transportation (i.e., shuttle, taxi, etc.).
  • If selected, presenters agree to send Clarke all presentation materials to by September 9, 2019. These materials will be shared with CART providers if access is requested for your workshop and are required to be kept on file for any CEUs being earned.
  • Copies: Each presenter is responsible for providing handouts necessary for their presentation. Clarke will notify you as to the number of participants registered for your workshop within 1-2 weeks of the conference.

6. Presentation Learner Outcomes: (These outcomes must be included in our program applications for CEUs.)
(Please list 3 learner outcomes that attendees will take away from your presentation. Learner outcomes should complete the following sentence: "Upon completion of this workshop, the participant will be able to..." Language should be specific, so avoid statements like "Understand how to advocate for a student in an IEP meeting..." in favor of measurable statements like "Describe three ways to advocate for a student in an IEP meeting...")


8. Content Level: (check one)

  • Introductory: Assumes that the participant knows little or no information within the presentation area covered, focus is “general orientation and increased awareness.”

  • Intermediate: Assumes that the participant has a general familiarity within the presentation area covered, focus is “increased understanding and application” by the participant.

  • Advanced: Assumes the participant has thorough familiarity within the presentation area covered, focus is “recent advances, future directions and application of research.”


10. Disclosure Forms
Please see below for Disclosure Explanations and Examples

ASHA Required Disclosures for All Presenters/Speakers

In compliance with American Speech-Language Hearing Association’s (ASHA) Continuing Education Board’s Requirements, Clarke Schools for Hearing and Speech requires that all presenters/speakers to disclose information regarding any financial and non-financial relationships related to course content prior to and during course presentations.

Disclosure Statements are REQUIRED on Your Opening PowerPoint Slides
Disclose any and all, real or potential conflicts of interest. Name any and all professional, financial or personal affiliation which may cause the impression that bias or prejudice could affect the objectivity of materials presented.

Relevant financial relationships are those in which the individual benefits by receiving intellectual property rights or a salary, royalty, gift, speaking fee, consulting fee, honoraria, ownership interest or other financial benefit. Financial relationships can also include “contracted research” where an institution gets the grant and manages the funds and the individual is the principal or named investigator on the grant.

Examples of relevant financial relationships may include:

  • Receiving a stipend for speaking at the mainstreaming students with hearing loss conference
  • Being an employee of, or a paid consultant to, an organization whose product or service you discuss in your presentation
  • Receiving grant funds for a research project you discuss in your presentation
  • Receiving royalties from the sale of a book whose content you discuss in your presentation

Relevant non-financial relationships are those that might bias an individual including any personal, professional, political, institutional, religious or other relationship. This may also include personal interest or cultural bias.

Examples of relevant non-financial relationships may include:

  • Serving as a formal advisor to a review panel
  • Sitting on the board of an organization whose product or service you discuss in your presentation
  • Receiving an award or honor from an organization whose product or service you discuss in your presentation

My Relevant Financial relationship disclosures are:

My Relevant Non-financial relationship disclosures are:

DEADLINE for proposals is Monday, February 25, 2019.
ALL relevant financial and non-financial relationship disclosures MUST be included.