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New Hampshire Training Institute on Addiction Disorders (NHTIAD)
Presenter Application Form

Mission: NHADACA's mission is to provide quality education, workforce development, advocacy, ethical standards and leadership for addiction professionals. We empower efforts in prevention, treatment and recovery.

NHTIAD brings over 30-years experience providing comprehensive training for NH’s substance use continuum of care workforce. Annually, it offers over 100 virtual and in-person live trainings, 50+ webinars, and self-paced eLearning modules to suit your learning style. NHTIAD's professional development calendar, involvement in collaborative conferences and scholarships to local and regional events, provide even greater access to education opportunities for mental health, substance use and integrative care professionals.
NHTIAD - Presenter Proposal Application
1.Workshop Title:(Required.)
2.Workshop Description (4-5 sentences):(Required.)
3.Length of presentation(Required.)
4.What is the preferred modality?(Required.)
5.Content Level:(Required.)
6.What is the educational gap or need that this training aims to fulfill?(Required.)
7.How do you plan to engage the participants in your workshop? (breakout groups, think-pair-share, active knowledge sharing, group work, etc.)(Required.)
8.Which of these topic(s) does this presentation address?(Required.)
9.Workshop Objectives:(Required.)
10.References (Organization/website, peer-reviewed journal/resource, clinical guidelines, expert resource or textbook resource):(Required.)
11.Additional presentation or equipment needs? (poster board, markers, sticky notes, etc.)(Required.)
Presenter Information

Presenter #1:
12.Name:(Required.)
13.Title/Credentials:(Required.)
14.Agency:(Required.)
15.Street address and city/state/zip code:(Required.)
16.Phone number:(Required.)
17.Email:(Required.)
18.How much experience do you have presenting?(Required.)
19.Please describe your experience with presenting(Required.)
20.Brief Bio (3-4 sentences describing presenter’s expertise/experience to teach this topic):(Required.)
21.Please upload your resume(Required.)
No file chosen
22.Do you have a 2nd presenter?(Required.)