PPA Call For Proposals - Virtual

Conference Program Criteria (Please take a moment to read the following statements)
Each proposal is evaluated according to the criteria listed below. All areas must be complete in order to be considered for presentation and CE credit.
PPA recognizes and supports diversity in its various forms through its activities and continuing education programs.

Proposals should note the relevance of diversity considerations in relation to workshop topics.

Proposals submitted by PPA members will be given priority.

PPA encourages all presenters to actively involve participants in the presentation process. Programs are required to include a plan for active learning. Proposals which actively involve the audience will be given high consideration.

To have your presentation considered for CE credit, course materials must be: pertinent and accurate; contribute to an area of practice, theory or methodology; be didactic and not experiential; be at the post-doctoral level; and be of client benefit.

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* 1. Title of Program maximum 73 characters, including spaces

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* 2. Program Description (50 words or less)

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* 3. Client Base

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* 4. Content Area

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* 5. Number of Hours

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* 6. Program Learning Objectives
Briefly state the major learning objectives of the program in behavioral terms. List at least one objective per hour of education. Objectives should be in terms of new skills or knowledge that the participant will have upon completion of the program. Objectives should describe participant outcome rather than what will be taught.
Complete the sentence: At the conclusion of this program, participants will be able to..."

Verbs to consider when writing learning objectives: list, describe, recite, write, compute, discuss, explain, predict, apply, demonstrate, prepare, use, analyze, design, select, utilize, compile, create, plan, revise, assess, compare, rate, critique.

Verbs to avoid when writing learning objectives: know, understand, learn, appreciate, become aware of, become familiar with.

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* 7. Three or more professional sources of support for the accuracy and utility of the material to be presented. Sources should be from the past ten years.

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* 8. Describe the limitations of the content to be presented

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* 9. Describe the most common clinical practice risks associated with the professional use of the material you will be presenting

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* 10. Program Category

Introductory: Participants need no prior knowledge of your specific topic or content to participate fully and effectively in the program. The information you are presenting or the skills you are teaching will be unfamiliar to those enrolled, although they will be practicing mental health providers or active teachers/researchers.
Intermediate: Participants should have some basic knowledge of the specific content you will cover, but need not have in-depth knowledge or skills. The program will provide information at a level beyond the basic knowledge of the topic.
Advanced: To participate fully, those enrolled must possess a substantial working knowledge or skill level in your specific content area. Generally, the knowledge or skill involved is currently used by the participant in his/her job. At this level, advanced techniques or knowledge would be offered to refine and expand current expertise.

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* 11. Schedule of Program Format

Provide an hour-by-hour breakdown of your program in terms of education content presented, and the type of learning method to be used. Please include a description of planned handouts in the format they are used in. Be sure to include enough time for the completion of the Participant Satisfaction/Evaluation form.

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* 12. The following information must be provided for EACH instructor. Please respond directly to each item listed in this section. Each instructor's background information should not exceed two pages. Please use additional pages (a Word document is acceptable) as needed.

**Each instructor should also submit a full CV in addition to this required information.**

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* 13. Degree (MA, MS, PsyD, PhD, etc.)

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* 14. Are you a PPA member

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* 15. Address

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* 16. Educational Background (Degrees, Years, and institutions)

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* 17. Please list your professional licenses or certifications.

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* 18. Current Position(s), Title(s), Employer(s), Number of years in position(s)

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* 19. List experience and workshop presentations or papers to support competence in the subject.

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* 20. Each instructor should also submit a full CV in addition to this required information. (For All Speakers)

PDF, DOC, DOCX file types only.
Choose File

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* 21. Are you presenting information about individuals seen in your practice, participants in your research or an organization?

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* 22. If yes, has privacy been safeguarded?

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* 23. If yes, have all necessary permissions been obtained?

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* 24. Will you be discussing proprietary test materials or information?

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* 25. If yes, have appropriate steps been taken to assure the security and appropriate use of the proprietary test materials or information?

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* 26. If yes, have all necessary written permissions been obtained from authors/publishers or other sources?

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* 27. Diversity Considerations
“Sponsors must both select instructors and develop program content that respect cultural, individual, and role differences, including those based on age, gender, gender identity, race, ethnicity, culture, national origin, religion, sexual orientation, disability, language, and socioeconomic status.” Please name three ways you are considering including one or more aspects of culture into your workshop.

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* 28. Please indicate your preference(s) based on the dates of the event.

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* 29. I give permission to PPA to use all or part of my presentation for publicity purposes

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* 30. I give permission to PPA to record and utilize my presentation for home study/future use.

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* 31. I agree to provide 8-10 (per hour of presentation) multiple choice questions for use in a post-workshop quiz. Questions should be sent to PPA by the date of the presentation.

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* 32. I promise to deliver my presentation as scheduled or send qualified substitute, upon notifying PPA

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* 33. I agree to disclose to the audience any real or apparent conflict of interest related to the content of my presentation

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* 34. I agree to present during the program statements reflecting the information provided at the beginning of this proposal form.

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* 35. Has this program been offered at a previous Pennsylvania Psychological Association Conference and/or Convention? If so, in what year?

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* 36. Has this program been presented elsewhere? If yes, please give the name of the conference, date, and location.

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* 37. Electronic Signature of Primary Presenter

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* 38. Date

Date

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* 39. Do you need to add additional presenter(s) information?

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