proposal master | American Academy of Psychotherapists

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*

Presenter #1 Email*

Presenter #1 Phone*

Address*

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*

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.

Presenter Proposal Master

Information for this presenter:

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.

Presenter #1 should answer the questions below.

These questions cover the description of your workshop, the objectives, the AV needs, etc.

Learning objectives must be written in a particular format:

A. What to describe:

B. How to describe it:

Outline of Content/Agenda