Promoting Violence Free Homes, Communities, and Societies
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15th INTERNATIONAL CONFERENCE
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*
are completed.
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for a word Form that you can fill out and email to Dave@friesmiller.com
TITLE OF PRESENTATION
*
(no more than 10 words)
ABSTRACT
*
SUBMIT a 50-WORD ABSTRACT of your presentation to be published in the program.
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OBJECTIVES
*
2- 3 (4-5 objectives required for 4 hour Post-Conference sessions)
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OUTLINE
*
SUBMIT an OUTLINE of your presentation. The outline should include all identifying information, such as names and affiliations of presenters. Please include 3 levels of detail.
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.
Summary
*
PREPARE A 300-WORD SUMMARY of your presentation that discusses the content of your presentation. The following should be included in your summary:
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Presentation Title
Main Points to be covered in your presentation
Relevance to conference attendees
Intended audience
How the session is unique from others if you have presented at one of our prior conferences.
AREAS OF EMPHASIS (Check all that apply)
ADVANCED CLINICAL TRAINING:
Presentations of applied clinical techniques for skill building for advanced practitioners.
ADVOCACY/POLICY/PREVENTION:
Presentations that deal with advocacy and/or prevention strategies for the track topic or is policy making oriented.
APPLIED RESEARCH:
Presentations of current research and ways it can be applied in a clinical or other practical setting within the specified population.
CONTROVERSIAL/CRITICAL ISSUES/DIFFICULT DIALOGUES:
Presentations that are controversial in nature or are currently being debated in the field.
CULTURAL DIVERSITY:
Presentations the emphasis culture and/or Lesbian, Gay, Bisexual and Transgender issues within a track topic.
EVIDENCE-BASED/PROMISING PRACTICES:
Presentations of intervention or prevention practices and/or programs that are innovative and empirically supported in the field.
FAITH/SPIRITUALITY:
Presentations that have a faith or spirituality focus for a topic within a track.
SUBSTANCE ABUSE:
Presentations that discuss substance abuse issues within a track topic.
OTHER EMPHASIS
(100 Characters Maximum)
CO-AUTHORS NOT ATTENDING/PRESENTING (Names only please!)
We encourage use of handouts, videos, powerpoint, and experiential activities.
PRESENTERS
List only the presenters that intend to come to the conference.
The Primary Presenter will be used as the contact person for this submission.
PRIMARY PRESENTER:
Title
Mr.
Mrs.
Ms.
Dr.
First Name
Last Name
Highest Degree
Professional License (if applicable)
Degree Field
Degree Year - 4 characters only (YYYY)
School
Affilliation
Email
This address will be used for acceptance decision
Profession
Select Profession
Advocate
Attorney
Clergy
Consumer
Correction
Counselor
Educator
Judge
Law Enforcement
Marriage and Family Therapist
Military
Nurse
Parole
Physician
Policy Maker
Probation
Psychiatrist
Psychologist
Researcher
Shelter & Crisis Center Worker
Social Worker
Survivor
Volunteer
Other
Cell Phone#
Work Phone#
FAX#
Home Phone
Mailing Address
City
State
Zip Code
Country
Current Employer, Work Address, and email
One page bio or biosketch for the primary presenter (focus on experience related to the presenter submission and any prior speaking or teaching experience)
2ND PRESENTER:
Title
Mr.
Mrs.
Ms.
Dr.
First Name
Last Name
Is this Presenter attending?
?
Is this Presenter a Co-Author?
Highest Degree
Professional License (if applicable)
Degree Field
Degree Year - 4 characters only (YYYY)
School
Affilliation
Email
Profession
Select Profession
Advocate
Attorney
Clergy
Consumer
Correction
Counselor
Educator
Judge
Law Enforcement
Marriage and Family Therapist
Military
Nurse
Parole
Physician
Policy Maker
Probation
Psychiatrist
Psychologist
Researcher
Shelter & Crisis Center Worker
Social Worker
Survivor
Volunteer
Other
Cell Phone#
Work Phone#
FAX#
Home Phone
Mailing Address
City
State
Zip Code
Country
Current Employer, Work Address, and email
One page bio or biosketch for the primary presenter (focus on experience related to the presenter submission and any prior speaking or teaching experience)
3RD PRESENTER:
Title
Mr.
Mrs.
Ms.
Dr.
First Name
Last Name
Is this Presenter attending?
?
Is this Presenter a Co-Author?
Highest Degree
Professional License (if applicable)
Degree Field
Degree Year - 4 characters only (YYYY)
School
Affilliation
Email
Profession
Select Profession
Advocate
Attorney
Clergy
Consumer
Correction
Counselor
Educator
Judge
Law Enforcement
Marriage and Family Therapist
Military
Nurse
Parole
Physician
Policy Maker
Probation
Psychiatrist
Psychologist
Researcher
Shelter & Crisis Center Worker
Social Worker
Survivor
Volunteer
Other
Cell Phone#
Work Phone#
FAX#
Home Phone
Mailing Address
City
State
Zip Code
Country
Current Employer, Work Address, and email
One page bio or biosketch for the primary presenter (focus on experience related to the presenter submission and any prior speaking or teaching experience)
4TH PRESENTER:
Title
Mr.
Mrs.
Ms.
Dr.
First Name
Last Name
Is this Presenter attending?
?
Is this Presenter a Co-Author?
Highest Degree
Professional License (if applicable)
Degree Field
Degree Year - 4 characters only (YYYY)
School
Affilliation
Email
Profession
Select Profession
Advocate
Attorney
Clergy
Consumer
Correction
Counselor
Educator
Judge
Law Enforcement
Marriage and Family Therapist
Military
Nurse
Parole
Physician
Policy Maker
Probation
Psychiatrist
Psychologist
Researcher
Shelter & Crisis Center Worker
Social Worker
Survivor
Volunteer
Other
Cell Phone#
Work Phone#
FAX#
Home Phone
Mailing Address
City
State
Zip Code
Country
Current Employer, Work Address, and email
One page bio or biosketch for the primary presenter (focus on experience related to the presenter submission and any prior speaking or teaching experience)
Press INSERT to Submit!