Association of Black Nursing Faculty, Inc. Call for Abstracts EXTENDED 26th Annual Meeting and Scientific Conference Theme: “Leadership in Nursing: Managing the Future of Professional Engagement June 12-16, 2013 Los Angeles Airport Marriott 5855 West Century Boulevard Los, Angeles, CA 90045 Cover Sheet for PAPER/POSTER Presentation (Submission deadline Extended: Postmarked by April 15, 2013) PLEASE TYPE OR PRINT: Title of Paper: Name of Presenter: First Middle Initial Last Degree Home Address: Street City State Zip Code Position: Agency Affiliation: Telephone (Work): Telephone (Home): Fax #: E-mail: If student, indicate level: Doctoral Masters Undergraduate Other Authors: (see next page) If selected, I agree to present a paper or poster at the 2013 ABNF Conference. I give permission for inclusion of my abstract in the conference proceedings and publication. I AGREE TO REGISTER AND SUBMIT PAYMENT WITH CALL FOR ABSTRACT FORMS FOR THE ANNUAL CONFERENCE AND ASSUME RESPONSIBILITY FOR MY OWN TRANSPORTATION AND LODGING. Signature: Date: Pag1e9 1 of 2 Other Authors: Name: First Middle Initial Last Degree Position: Agency Affiliation: Home Address: Street Telephone (Work): City State Zip Code Telephone (Home): E-mail: Name: First Middle Initial Last Degree Position: Agency Affiliation: Home Address: Street Telephone (Work): City State Zip Code Telephone (Home): E-mail: Name: First Middle Initial Last Degree Position: Agency Affiliation: Home Address: Street Telephone (Work): City State Zip Code Telephone (Home): E-mail: Deadline EXTENDED: Postmarked by April 15, 2013 Checklist: Submit the following checklist items via email to Dr. Barbara Broome [email protected] This completed cover sheet. _ One page abstract with complete title, author and institution in the top section. Vested Interest Form BioData Form All submissions must conform to length, typing, and space specifications. Submit 1 hard copy of checklist items along with post-dated check (*after notification of acceptance) to: Abstracts/ABNF, Inc. c/o Dr. Renée Williams, RN 4 Danielle Court Jackson, MS 39206 *Abstracts not accepted will have fees refunded 20 Use this form as a guide to format. Your information should be typed on plain paper without lines on it. All text must be within spaces indicated by the boxes using 12 point font. Guidelines for Paper/Poster Abstracts TYPE ABSTRACT TITLE IN UPPER CASE Author’s Name, Degrees Author’s Institution Author’s Institutional Address Three Key Words Abstract 21