Presenter CE Form

Required CE Presentation Information

Thank you for agreeing to present at the Fall Conference and Symposium taking place on September 13 & 14, 2024. Information must be submitted by July 8. The following information is the final step in collecting required paperwork from each presenter for our CE cosponsors. Please complete in full.

Name(Required)

Please write your professional name as it should be listed in all conference related materials.

First Last Suffix

Presenter Bio(Required)

Please provide a brief bio of no more than 200 words.

Title of Presentation(Required)

Title as listed here will be used in all conference related materials.

Presentation Summary(Required)

Please provide a 3 sentence summary of presentation to be used in conference related materials.

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Learning Objectives

All presenters must submit learning objectives meeting the APA guidelines for behavioral learning objectives. For Presentations of 30 minutes, 1 learning objective is required. For Presentations of 45 minutes, 2 learning objectives are required. - Click here to open the Objectives Guideline PDF.

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Learning Objective #1(Required)

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Learning Objective #2(Required)

Post-Test Question

Please provide one simple multiple choice question (with four possible answers) that addresses the main theme of your presentation. The correct answer must be included with your submission. Questions provided by presenters will be used in a post-test to be included in the conference evaluation form given to PA social workers, LPC's and LMFT's who participate by watching the zoom recording, and who need CE credits for doing so. This is a requirement set forth by our co-sponsor.

Please include the correct answer with your post-test question.(Required)

Will you be presenting in person or via Zoom?(Required)

Do you accept your designated place on the conference schedule?(Required)

What specific change would you like to request?(Required)

Presentation Details

Our CE Co-sponsor requires either a presentation slideshow, or outline, along with a bibliography from each presenter. If you have a slideshow already completed, please upload your slideshow as a PDF. If you're still in the process of creating your presentation, please upload a 1-2 page thorough outline detailing its content.

You must select one of the drop box items below:(Required)

Upload either slideshow or outline consistent with above choice.(Required)

Max. file size: 10 MB.

Please upload a one page bibliography of resources utilized to create presentation.(Required)

At least one reference must be from within the last 5 years.

Max. file size: 10 MB.

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