Skip to content
Search for:
Who We Are
About the Academy
President’s Welcome
Our Roots
Peer/Family Groups
Reflections
Ethics Committee
Mid-Atlantic Region
Southern Region
Officers & Councillors
Video Testimonials
Find-a-Therapist
Contact Us
Events
All Upcoming Events
National Events
Mid-Atlantic Events
Southern Region Events
Local Salons & Workshops
Voices Journal
About the Journal
Issues
Subscriptions
Call for Papers
Contributor Guidelines
Scholarships
Scholarship Program
FAQs
Apply
Scholarship Donations
Join
Benefits of Membership
Membership Requirements
Fees & Annual Dues
Online Application
Reference Form
Reactivation Form
Late Payment of Dues Reactivation Form
Members
Log In
Donate
proposal master
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.
Training Institute?
Yes
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
*
First
Last
Presenter #1 Email
*
Presenter #1 Phone
*
Address
*
Street Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Degree
*
Year Received
*
Institution Name
*
Area of Study
*
Add Another 1
Add Another
Degree
Year Received
Institution Name
Area of Study
Add Another 2
Add Another
Degree
Year Received
Institution Name
Area of Study
Add Another 3
Add Another
Degree
Year Received
Institution Name
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?
Yes
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?
Yes
Name of Presenter #3
Presenter #3 Email
Add 4th Presenter?
Yes
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.
Presentation Description
*
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.
Learning Objectives
*
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?
A/V Needs
*
Please list what audio visual equipment you require
I will use my own Zoom account for my workshop if virtual
*
Yes
No
N/A
Please let us know how many hours your workshop will last
*
3
6
9
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.
Wednesday
Thursday
Friday
Saturday
Sunday
Phone
This field is for validation purposes and should be left unchanged.
Page load link
Go to Top