Thank you for your interest to share your expertise in one of our Institute for the Advancement of Behavioral Healthcare education programs. Your submission will be forwarded to one of the Institute program managers for consideration.  All submissions will be entered into our Institute's thought leadership database.
 
We accept thought leadership submissions for panel participation or presentation of an educational session at a live event or webinar. Session submissions will require information title, abstract, and three learning objectives.
 
Our program management team will not consider any submissions that contains the commercial promotion of products or organizationsThere are no speaking fees for presenting and a possible stipend may be offered for presenting at certain Institute events.   

Please the enter contact Information for this submission
(Complete ONLY IF YOU ARE NOT the main presenter)

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* 1. Please the enter contact Information for this submission
(Complete ONLY IF YOU ARE NOT the main presenter)

Presenter Information
(All fields are required)

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* 2. Presenter Information
(All fields are required)

Is there a specific program you are submitting for?   
(You may submit for more than one)  
For a listing of events and dates,
please go to: Institute for the Advancement of Behavioral Healthcare Programs

Question Title

* 3. Is there a specific program you are submitting for?   
(You may submit for more than one)  
For a listing of events and dates,
please go to: Institute for the Advancement of Behavioral Healthcare Programs

Are you open to be a presenter for a webinar?

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* 4. Are you open to be a presenter for a webinar?

Please list your area(s) of expertise

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* 5. Please list your area(s) of expertise

Are you currently in private practice?

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* 6. Are you currently in private practice?

Are you a government employee or work at an educational institution?

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* 7. Are you a government employee or work at an educational institution?

Please provide a short biography (150 words or less). Please submit in complete sentences and in paragraph form. 

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* 8. Please provide a short biography (150 words or less). Please submit in complete sentences and in paragraph form. 

Please list other speaking engagements where you have presented in the last two years.

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* 9. Please list other speaking engagements where you have presented in the last two years.

Proposed topic area for education instruction or panel participation

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* 10. Proposed topic area for education instruction or panel participation

Are you Interested in participating on a panel or presenting a session?

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* 11. Are you Interested in participating on a panel or presenting a session?

Please identify the intended target audience for your presentation

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* 12. Please identify the intended target audience for your presentation

Proposed session title

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* 13. Proposed session title

Please provide a short session description

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* 14. Please provide a short session description

Identify the attendee’s required level of understanding or prior experience/skills related to the subject matter presented in this session: (Beginner, Intermediate, Advanced)

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* 15. Identify the attendee’s required level of understanding or prior experience/skills related to the subject matter presented in this session: (Beginner, Intermediate, Advanced)

 
33% of survey complete.

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