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Exhibitor/Sponsor Registration Fall Convention September 27-28, 2018 The Kearney Holiday Inn & Conference Center 110 S. 2nd Avenue Kearney, NE 68847 (308) 237-5971 Group Rate - $99.95 plus tax Deadline for NSLHA Fall Convention Group Rate: August 30, 2018 Be sure to request the NSLHA event rate when making your reservation.

NSLHA Fall Convention Sponsorship Opportunities Don t miss our Annual Convention, which brings together audiologists, speech-language pathologists and students who are looking for the best products and services available for their schools, hospitals, universities and private practices. Promote employment opportunities at your company or organization with students. Sponsorships help enhance the visibility and recognition of your company or organization while supporting the speech-languagehearing profession. Your support helps allow the Nebraska Speech-Language-Hearing Association to provide education, information and services to your customers. There are different sponsorship opportunities available, so that you can choose the level of support that best fits your budget and business objectives. Sponsors will be recognized on the convention web page, on social media and through announcements and signage at the convention. Any sponsorship amount is welcomed and appreciated. Annual Business Meeting Luncheon Sponsor: $3,500 (sponsor receives a complimentary table for 8 representatives and is provided the opportunity to say a few words about their company/organization) Networking Reception Sponsor: $3,500 (includes hors d oeuvres and two drink tickets per attendee) - sponsor is provided the opportunity to say a few words about their company/organization Breakfast Sponsor: $2,000 Morning Break Sponsor: $1,300 Afternoon Break Sponsor: $1,300 General Session Sponsor: $1,000 (sponsor is also provided the opportunity to introduce the speaker and say a few words about their company/organization) Badges and Lanyards for Convention Attendees: $1,000 Your company/organization logo will be placed on all attendee badges and lanyards that hold the attendees and speakers name badges. As the exclusive badge/lanyard sponsor, your company/organization will be responsible for providing its logo to the NSLHA office for printing on the badges and lanyards. You will also be recognized on the convention web page, on social media and through announcements and signage at the convention. Breakout Session Sponsor: $500 (first come, first serve - refer to the convention agenda for a list of speakers and topics) Other (please specify) Interested in additional opportunites for marketing, recognition and value? Check out our Industry Partner Program and contact Janet Seelhoff, NSLHA Executive Director, at (402) 476-9573 or info@nslha.org to discuss how you would like to connect with our members. 2 NSLHA Fall Convention

NSLHA Fall Convention Marketing Opportunities Company Banner Ad Placed on the NSLHA Convention Web Page: $100 The convention web page lists all exhibitors and sponsors. You can add your company/organization banner ad with a link to either your website or email address. Speaker Gifts: There are more than 25 education session speakers at this year s convention. If you would like to donate a gift for each speaker (suggested amount is $10-$25 per speaker), please contact the NSLHA office to discuss ideas. You will also be recognized on the convention web page, on social media and through announcements and signage at the convention. Speakers will be notified of the donor as well. Bags for Convention Attendees: Every attendee and session presenter will receive an attendee bag. The bags should be strong enough to hold up to five pounds of material. As the exclusive bag sponsor, your company/organization will be responsible for ordering and shipping the bags to the NSLHA office in advance of the convention. Shipping instructions will be provided. You will also be recognized on the convention web page, on social media, and through announcements and signage at the convention. Folders for Convention Attendees: Every attendee and session presenter will receive a folder with their name badge and convention program. As the exclusive folder sponsor, your company/organization will be responsible for ordering and shipping the folders to the NSLHA office in advance of the convention. Shipping instructions will be provided. You will also be recognized on the convention web page, on social media, and through announcements and signage at the convention. Interested in additional opportunities for marketing, recognition and value? Please contact Janet Seelhoff, NSLHA Executive Director, at (402) 476-9573 or info@nslha.org to discuss how you would like to connect with our members. NSLHA Fall Convention 3

NSLHA Fall 2018 Convention Agenda Draft Speakers for the audiology and student tracks are being finalized. KEY Wednesday, September 26, 2018 Audiologists 6:30 p.m. - 9:00 p.m. Student Share Fair Speech-Language Pathologists Medical Speech-Language Pathologists School Thursday, September 27, 2018 7:15 a.m. - 8:00 a.m. Registration and Continental Breakfast Students 8:00 a.m. - 9:15 a.m. General Session - Shari Robertson - ASHA and NSLHA Peeps: We ve Got Game! (Advocacy & Leadership) 9:15 a.m. - 9:30 a.m. Break 9:30 a.m. - 11:30 a.m. Enhancing Your Clinical Educator Tool Box: Clinical Supervision of Graduate Clinicians presented by Diane Farrand, Jill Kumke and Laura Moody 9:30 a.m. - 11:30 a.m. Aligning Evidence-based Information with Children s Needs for Speech Sound Disorder Intervention presented by Shari DeVeney and Katy Cabbage 9:30 a.m. - 11:30 a.m. Assessment/Medical Management of the Adult Dizzy Patient, and Pmplications of Aging on the Vestibular System and Balance presented by Liz Kelly 11:30 a.m. - 12:00 p.m. Networking Break 12:00 p.m. - 1:15 p.m. NSLHA Annual Business Meeting Luncheon 1:30 p.m. - 3:30 p.m. Head and Neck Cancer: Considerations for the SLP Along the Continuum of Care presented by Carol Gaebler and Srinivasa Chandra 1:30 p.m. - 3:30 p.m. Executive Functioning in the School Setting presented by Jenise Straight 3:30 p.m. - 3:45 p.m. BREAK 3:45 p.m. - 4:45 p.m. A Laryngologist s Approach to Voice presented by Dr. Chris Bingcang and Enoch Ulmer 3:45 p.m. - 4:45 p.m. Boys Town National Research Hospital Pediatric Hearing Clinic Presentation 3:45 p.m. - 4:45 p.m. What s in a Word? Building Better Vocabulary through Morphological Instruction presented by Shari Robertson 4:45 p.m. - 6:30 p.m. Poster Sessions, 50/50 Raffle Tickets for Senators Lunches, Exhibits and Networking Reception Friday, September 28, 2018 7:15 a.m. - 8:00 a.m. Registration and Continental Breakfast 8:00 a.m. - 10:00 a.m. Aging and Cognition presented by Dr. Ladan Ghazi Saidi 8:00 a.m. - 12:00 p.m. Childhood Apraxia of Speech presented by Cari Ebert 8:00 a.m. - 12:00 p.m. Medicaid/Medicare 101 and SLP Medicaid Update presented by Jessica Thoene 10:00 a.m. - 10:15 a.m. Break 10:15 a.m. - 11:15 a.m. Trachs, Vents and Everything in Between - What an SLP Needs to Know about the In Between presented by Kelly Koch and Cheryl Wagoner 10:15 a.m. - 12:00 p.m. Mock Interviews, Resume and Cover Letter Critique 12:00 p.m. - 1:00 p.m. Student Forum and Luncheon 12:00 p.m. - 1:00 p.m. Lunch On Your Own 1:00 p.m. - 2:00 p.m. Working with Multidisciplinary Teams (interprofessional education) 1:00 p.m. - 3:00 p.m. Improving Communication Skills Through Verbal Behavior Interventions presented by Teresa Schultz 1:00 p.m. - 3:30 p.m. Childhood Apraxia of Speech presented by Cari Ebert (continued) 2:00 p.m. - 3:00 p.m. Applying and Preparing for Graduate School presented by Kathy Coufal and Miechelle McKelvey 3:30 p.m. - 3:15 p.m. Break 3:30 p.m. - 4:30 p.m. SLP Grand Rounds presented by Trisha Funk and Bethany Kusek 3:45 p.m. - 4:45 p.m. Children With Visual Impairments: Accomodations and Modifications for Practice presented by Mackenzie Savaiano 3:45 p.m. - 4:45 p.m. Audiology Medicaid Update presented by Leisha Eiten 4 NSLHA Fall Convention

Exhibit Information Exhibit Time Thursday, September 27, 2018 4:45 p.m. - 6:30 p.m. Exhibitors are invited to set up their tables any time on Thursday, September 27th, after 2:00 p.m. Tear-down is at 6:30 p.m. Exhibit Shipping Information You may ship your exhibit display and materials to arrive one week prior to the convention. Please be sure to indicate on your packages that your items are for the Nebraska Speech-Language-Hearing Association Fall Convention and number them accordingly. Ship to: Kearney Holiday Inn & Conference Center 110 S. 2nd Avenue, Kearney, Nebraska 68847. Your items can be retrieved at the front desk upon your arrival. *Please note: The hotel does not ship items out directly, so you will need to make appropriate plans for shipping your content once the convention has ended. Financial Disclosure and Non-Financial Disclosure Statement Each presenter must submit a financial and non-financial disclosure statement. Here are two examples: Offer Continuing Education Credit for Attendees at Your Exhibit Table NSLHA would like exhibitors to provide continuing education credit for attendees from 4:45 PM-6:30 PM at their exhibit table on Thursday, September 27th, 2017. If you would like to offer CEUs, please deliver a brief presentation to attendees (10 minutes) at your exhibit table and submit your learning outcomes by June 1, 2018. Learning Outcomes: 1. 2. 3. 4. 5. 6. Convention Education If you would like to attend the convention and receive CEUs for the sessions offered, please register separately as an attendee for the convention. The attendee registration brochure will be available this summer. 1. Speaker Disclosure Statement: Dr. Susie is employed by ABC Town National Research Hospital, received a research grant from the National Institutes of Hearing, serves on the Phonak Pediatric Advisory Board and receives a consulting fee. She has no non-financial relationships to disclose. 2. Speaker Disclosure Statement: Dr. Smith is employed by Wild E. Coyote Medical College, New Jersey Hospital. He receives a consulting fee from ABC Institute and serves on the board. He has no non-financial relationships to disclose. Financial Disclosure Statement: 1. Non-Financial Disclosure Statement: 2. NSLHA Fall Convention 5

NSLHA Fall Convention Exhibitor Registration Company/Business Name: Participant 1: Email: Participant 2: Email: Address: City: State: Zip: Phone: Products/Services Company Provides: Exhibit Space Display: $350 Display includes one (1) 6-foot table, 2 chairs, and hors d oeuvres for two (2) representatives from your company/ business. Exhibitors will be recognized on our convention page on the website, during announcements at convention, on social media, and on signage at the convention. A final list of convention attendees will be provided to you after the event. Informational Table: $275 If you re unable to attend the convention, but would like to take advantage of marketing opportunites, select an informational table. We will display your product, catalogs or printed materials for you. Extra products or materials will not be returned. This table space does not include receiving a final list of convention attendees. Yes, I would like to donate an item(s) for the door prize. Description of item(s): Exhibitor Needs: (Please circle) (Yes / No) I will need electrical power for my display - No Charge. Please provide your own extension cord. Other requests: (please specify) Total Exhibit Fees: $ Total Sponsorship Fees: $ Grand Total of Fees: $ (Yes / No) My logo is attached as a.jpg file, for recognition at the Fall Convention. Please submit registration form with payment by September 14, 2018 to: NSLHA, 1633 Normandy Court, Suite A, Lincoln, NE 68512 Fax to 402.476.6547 Email: info@nslha.org A $5.00 processing fee is applied to all credit card transactions. Payment Methods p Check - Print this form, fill it out, and send to NSLHA with a check made payable to NSLHA. p Credit Card - Click here to register/pay online. https://gmod-connect.aptean.com/f/index.php Questions? Email: info@nslha.org or Call: 402/476-9573 When you provide a check as payment, you authorize us either to use information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction. When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment, and you will not receive your check back from your financial institution. 6 NSLHA Fall Convention