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Presenter Proposal Master
Title of Presentation
Exactly as it will appear in the program brochure. Please try to have the title of the presentation relate to the theme of the overall program.
Information for this presenter:
(person filling out this particular form)
Please fill out below with your information. If you have co-presenters, enter their emails and we'll send them a separate form asking for their bios.
Name of Presenter #1
Presenter #1 Email
Presenter #1 Phone
District of Columbia
Northern Mariana Islands
U.S. Virgin Islands
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Area of Study
Add Another 1
Area of Study
Add Another 2
Area of Study
Add Another 3
Area of Study
Professional Licenses and Certificates, Dates Granted, and States where these are current
Biography of Presenter
This biography should include professional training as well as indicate your educational background, including your college and graduate degrees, licenses or certificates held, state(s) in which you practice, type of professional work you do, and any specialty training which is relevant to the nature of your presentation. Biography must be limited to 80 words or less. Check your word count - must be 80 words or less to fit into brochure.
Do you have a Co-Presenter?
Name of Presenter #2
Presenter #2 Email
An email will be sent to the Co-Presenter with a link to fill out their bio and education.
Add 3rd Presenter?
Name of Presenter #3
Presenter #3 Email
Add 4th Presenter?
Name of Presenter #4
Presenter #4 Email
Presenter #1 should answer the questions below.
These questions cover the description of your workshop, the objectives, the AV needs, etc.
A description of your Presentation as you would like it to appear in the Program Brochure. This Description should indicate what type of educational or learning experience the participants should anticipate having. Description must be limited to 50 words or less. Check your word count - must be 50 words or less to fit into brochure.
Learning objectives must be written in a particular format:
A. What to describe:
DO describe something the PARTICIPANT will be able to do AFTER having attended your session.
DO NOT describe something that YOU will do DURING the session. That is a presenter goal, not a learning objective.
B. How to describe it:
DO begin each with a verb that denotes an action that is observable or audible, such as: list, state, explain describe, differentiate, discuss, calculate, compare, contrast, choose, define, demonstrate, estimate, evaluate, locate, match, name, plan, predict, rank, recommend, select, summarize, write, etc.
DO NOT use verbs that denote something happening inside the participant’s head, such as: know, learn, appreciate, value, acquire, comprehend, be familiar with, recognize, understand, etc. You cannot see or hear someone do these things.
If you can’t see or hear the participant perform the action (verb), choose a different verb.
At the end of the workshop, participants will be able to
Outline of Content/Agenda
A. Provide an outline, as shown below, (NOT a paragraph description) of the content of your presentation, specifying who is teaching each component (if more than one presenter) and how long each component is expected to take (in minutes).
B. Indicate which of your objectives is being addressed for each component.
C. If your presentation will include a “group process”, you are still expected to outline the expected flow and time elements of that process. Do not list “group process” and not include the details.
Example for a 90-minute presentation with two speakers:
1. Fight-or-flight responses and couples distancing: (Obj 1), (45 min), John Smith
A. The phenomenon of flooding
B. Lowering the intensity and increasing safety
C. Related research on effective and ineffective couples interventions
2. Educating the couple (a case study) (Obj 1), (20 min), John Smith
A. Content vs. process
B. Mechanics of communications
3. Assessment concerns related to this method (Obj 2), (25 min), Sarah Brown
A. Organizing presenting problems
B. Using family history
C. Organizing current stressors
Insert your outline here:
Room Arrangement - How would you like your room arranged:
Chairs in a circle? Chairs in rows? Another way?
Please list what audio visual equipment you require
I will use my own Zoom account for my workshop if virtual
Please let us know how many hours your workshop will last
Maximum number of people in workshop in person
Maximum number of people in workshop if virtual (zoom)
Please check any day when you CANNOT be available to present this workshop.
This field is for validation purposes and should be left unchanged.
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