Person submitting this proposal

Date
First Name
Last Name
Degree
Organization
Organization Type:	Select one Disability Services Educational Services Mental Health Victim Services Judicial (Judge, CASA/GAL) Law Enforcement Research Vocational Services Medicine Media Family or Person with a Disability Rehabilitation Psychology Social Work UAP Advocacy Disability Services Educational Services Mental Health Vocational Services Rehabilitation Victims Services Medicine Social Work, Protective Services UCE (UAP) Civil and Criminal Justice (Judges, CASA/GAL, Prosecutors/DAs, civil and defense attorneys) Law Enforcement (Police, Sheriff, Investigators) Research Media Prevention and Education Advocacy Family or Person with a Disability Other: Please describe:
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail
URL
Special Needs:	Please indicate any accommodation information you may require. Please indicate if you have a disability, for priority consideration.

Your Workshop Proposal

(Reminder: We suggest you prepare your workshop title, keywords,
abstract, description and biography in your word processor and then cut and paste the content in the form provided below. That way you will be sure to keep a copy for your own records.)

Proposals are encouraged which enhance the conference's priority on improved outcomes for victims and improved risk reduction under our theme: "Building Stronger Networks."

 

Workshop Title:

Track (select one)

Please select one category that reflects the content of your proposal.

Provide 3 to 5 keywords for your proposal.

Provide a 100 word abstract of your workshop that we can use in our conference program

Provide a full workshop description (up to 500 words) clearly describing
a. the content of your proposed workshop,
b. your method of presentation, including technology to be used,
c. how you will involve participants,
d. the target audience,
e. what participants will gain (in knowledge, understanding and skills) from attending.

Provide brief (100 word) biographical sketches of the presenters*. Be sure to include:
Name, Academic Degree (if applicable), Job Title or Other Status (Volunteer, Advocate, Parent, Child, Student, Senior, Victim, etc), Key professional or life experiences and accomplishments that have a bearing on your role as a presenter at this conference. What you provide here will be used in the following ways:

• To qualify your workshop for continuing education credit for the various professionals who attend this conference.
• To assist your session moderator in introducing you to your audience.

Level of Workshop:
Basic (for attendees who want to gain basic information and skills in a new area)
Advanced (for attendees seeking to improve upon their existing skills and knowledge)

Specify your equipment needs (click all that apply). Note: each break-out room will have flip-chart and markers. Equipment requests will be met within budget limitations. Presenters are encouraged to bring their own equipment to assure technical compatibility.

Overhead projector   Screen                              Internet connection (may involve additional cost)
Other (describe in box below)     

Are you the only presenter? You can submit your proposal now.    If you want
to include additional presenters, enter the information below before clicking the
submit button.

If you do not receive a confirmation of your submission immediately you may
need to resubmit.

      

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Additional Presenters:

Second Presenter:

First Name
Last Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail
URL

Third Presenter:

First Name
Last Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail
URL

Fourth Presenter:

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail
URL

Provide the information requested for fifth and all other presenters in the box below.

Click here to go to the Submit Form button above.