Conference Call for Proposals

Number of Presenters*

Presenter

Name*

First Last

Title*

Institution/Agency*

Email*

Enter Email Confirm Email

Phone*

CALPCC Member?*

Yes
No

Brief Bio*

75 words max

Qualifications*

Please indicate how the lead presenter meets at least two of the following four minimum qualifications (required for participants to receive CEUs for your session):

Current, valid, unrestricted license, registration, or certificate in an area related to the subject matter of the course:
Master’s or higher degree from an educational institution in an area related to the subject matter of the presentation:
Training, certification, or experience in teaching subject matter related to the subject matter of the presentation:
At least two years experience in an area related to the subject matter of the presentation:

Presenter 1 - CV/Resume*

Please upload Resume/CV in pdf form

Presenter #2

Name*

First Last

Title*

Institution/Agency*

Email*

Enter Email Confirm Email

Phone*

Brief Bio*

75 words max

CALPCC Member?*

Yes
No

Presenter 2 - CV/Resume*

Please upload Resume/CV in pdf form

Presenter #3

Name*

First Last

Title*

Institution/Agency*

Email*

Enter Email Confirm Email

Phone*

Brief Bio*

75 words max

CALPCC Member?*

Yes
No

Presenter 3 - CV/Resume*

Please upload Resume/CV in pdf form

Presenter #4

Name*

First Last

Title*

Institution/Agency*

Email*

Enter Email Confirm Email

Phone*

Brief Bio*

75 words max

CALPCC Member?*

Yes
No

Presenter 4 - CV/Resume*

Please upload Resume/CV in pdf form

Presentation Information

Presentation Title*

(15 word maximum)

Abstract*

120 word maximum

Session Summary*

Session Summary, including overview; clinical, scholarly, or scientific significance; session structure/outline (500 word maximum)

Learning Objectives

Learning objectives should be concise. Each one should be one to two sentences in length. Begin with the sentence stems indicated below and use verbs such as: demonstrate, identify, conduct, implement, examine, articulate.

Learning Objective 1*

By attending this session, attendees will be able to …

Learning Objective 2*

By attending this session, attendees will be able to …

Learning Objective 3*

By attending this session, attendees will be able to …

Audience most appropriate for this presentation*

(choose up to three):

Students/Trainees
Interns
Clinicians
Counselor Educators

Please indicate how this presentation relates to the conference theme.*

Consent for recording of presentation:*

Please indicate your consent for yourself and on behalf of all other presenters so that the presentation can be audiotaped and/or videotaped if the submission is accepted and the session is selected for recording by CALPCC.

Yes
No

Identify the track for which you are submitting an education, roundtable, or poster session*

Historically marginalized communities including LGBTQ and communities of color
Disability and Disability Competency
Professional Issues related to Law & Ethics
Interprofessional collaboration and Integrated Behavioral Healthcare
Culturally Competent Supervision
Trauma-informed Care

Identify the type of presentation you are submitting:*

Education Session: 90-minute educational presentation
Roundtable Discussion: 90-minute session with multiple roundtable discussions occurring at the same time, with a moderator leading the discussion
Poster Session: The poster session can showcase the presenters’ research project, concepts, and/or scholarly interests related to the conference theme.

Should your presentation not be selected for an education session, will you agree to present a roundtable session or poster session:*

Yes
No

CALPCC and SFSU welcome proposal submissions from persons with disabilities. If you need accommodations to complete the call for proposals, please contact Julie Chronister at jchronis@sfsu.edu.

2018 CALPCC Conference Call for Proposals

Presenter

Presenter #2

Presenter #3

Presenter #4

Presentation Information

Learning Objectives

2018 CALPCC Conference
Call for Proposals