Please complete the following information and upload your CV at the end.  The program committee will review all applications to select workshops for the available spots. Please review the TxABA Workshop Submission Information and send any questions to txaba@txaba.org.

Question Title

* 1. Instructor contact information.

Question Title

* 2. Name of co-instructors for workshop. (optional)

Question Title

* 3. Title of workshop.

Question Title

* 4. Audience size anticipated (Individual room capacity is a max of 30-35 or combined rooms for 55 max).

5 55
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 5. Workshop duration: Workshops may be either 3-hours or 6-hours in length. If you wish to submit two different 3-hour workshops then please fill out another questionnaire for the second workshop.

Question Title

* 6. Workshop description/abstract.

Question Title

* 7. Content area.

Question Title

* 8. Do you agree to design the content of the workshop to go "beyond the current BCBA Task List and BCaBA Task List, be behavior-analytic in nature, be designed for attendees with a behavior-analytic background, and reflect current and accurate content" per the BACB ACE Handbook page 2.

Question Title

* 9. Learning objectives: Should be behaviorally written (objective), identify new skills beyond those required to become certified, and feasible to accomplish. Please include 2 learning objectives for the first hour then at least one learning objective for each remaining hour of the workshop (e.g., 3-hour workshop should list a minimum of 4 learning objectives and a 6-hour workshop should list a minimum of 7 learning objectives).

Question Title

* 10. Workshop activities. Please select all that apply.

Question Title

* 11. Does this workshop count as Ethics CEUS?

Question Title

* 12. If Ethics, please list sections of the ethics code covered.

Question Title

* 13. Does this workshop count as Supervision CEUs?

Question Title

* 14. If Supervision, provide rationale.

Question Title

* 15. How does instructor qualify as CE instructor?

Question Title

* 16. Please list and describe any funding received for this submission and any potential conflict of interest such as commercial support, royalties for resources mentioned, of any other perceived conflict of interest. Please indicate if there are none.

Question Title

* 17. Do you agree to abide by the BACB Ethics Code for Behavior Analysts, ABAI Ethics and Diversity policy, and ABAI Sexual Harassment policy?

Question Title

* 18. Do you agree to the TxABA Workshop Instructor Payment Formula? Registration for TxABA Members is $80 for 3-hour workshops and $150 for 6-hour workshops. NonMembers registration is $120 for 3-hour workshops and $225 for 6-hour workshops. TxABA will pay the workshop instructor 40% of each non-refunded workshop registration fee. Cancellations and refunds will follow TxABA’s general policies https://txaba.org/terms/

Question Title

* 19. Please upload your CV

PDF, DOC, DOCX file types only.
Choose File
Thank you! The Program Committee will get back to you on October 26, 2022 regarding selections.

T