American Speech-Language-Hearing Association

Health Care Business Institute Conference Poster Submission

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Primary Author's First Name: *

Primary Author's Last Name: *

Primary Author's Institution: *

Primary Author's Title: *

Primary Author's Biographical Sketch (not to exceed 200 words): *

Primary Author's City: *

Primary Author's State: *

Primary Author's Daytime Phone: *

Primary Author's E-mail: *

2nd Author's First Name:

2nd Author's Last Name:

2nd Author's Institution:

2nd Author's Title:

2nd Author's Biographical Sketch: (not to exceed 200 words)

2nd Author's City:

2nd Author's State:

2nd Author's Daytime Phone:

2nd Author's Email:

3rd Author's First Name:

3rd Author's Last Name:

3rd Author's Institution:

3rd Author's Title:

3rd Author's Biographical Sketch: (not to exceed 200 words)

3rd Author's City:

3rd Author's State:

3rd Author's Daytime Phone:

3rd Author's E-mail:

Title of Proposal: *

Abstract (not to exceed 100 words): *

Project Summary (not to exceed 1,000 words; should include a main argument, procedures, and results): *

Instructional Level: *

Learner Outcome 1: *

Learner Outcome 2: *

Learner Outcome 3: *

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