August 21-23, 2019
Philadelphia, Pennsylvania

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* 1. Presenter Information

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* 2. How would you like your name to appear in conference materials?

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* 3. Title of proposed workshop {10 word maximum}:

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* 4. Presenter Biography {50 word maximum}:

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* 5. Workshop Abstract {50 word maximum}:

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* 6. Workshop Agenda:
Topics to be presented in order of presentation, brief description of each content area, as well as format (lecture, video, role-playing, interactive, experimental, panel discussion, roundtable discussion, etc).

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* 7. Workshop Category: (Pick one.)

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* 8. Subcategory:
Please choose up to three categories that best fits the content of your workshop.

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* 9. Workshop Training Level:

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* 10. Length of Workshop:

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* 11. How will your workshop be inclusive of diverse identities?

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* 12. Which language will this workshop be presented in?

Workshop Objectives: Three measurable objectives are required. For more information about objectives, click here.

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* 13. Workshop Objective 1 - By the end of this workshop, participants should be able to: (describe, explain, demonstrate, implement, strategize, etc…)

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* 14. Workshop Objective 2 - By the end of this workshop, participants should be able to: (describe, explain, demonstrate, implement, strategize, etc…)

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* 15. Workshop Objective 3 - By the end of this workshop, participants should be able to: (describe, explain, demonstrate, implement, strategize, etc…)

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* 16. Audio/Video/Technical Needs

*PCAR asks for presenters to bring their own laptops. If your workshop is in need of a laptop, it can be provided by PCAR. This does not have any impact on the review process.

Each room will be equipped with a power cart, projector, screen and flip chart. While every effort will be made to provide wi-fi for presenters who request it, we cannot guarantee the strength of the signal or other issues that may arise. Please consider loading any audio/visuals you need for your presentation onto your laptop.

I understand what will be provided for my presentation. I would also like to request:

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* 17. Will you have co-presenters?

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