1.Presentation Title

2.Session Learning Objectives (Please provide three learning objectives).

3.Presentation Description (Please provide a 50-75 word synopsis of your presentation).

4.Course Level

Basic

Intermediate

Advanced

5.Presenter Name

6.Professional Affiliation (Law Enforcement, Victim Services, Judicial, etc.)

7.Occupational Title

8.Agency/Organization

9.Presenter's Contact Information

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

10.Please provide a brief bio that includes professional responsibilities, relevant certifications and expertise on the proposed topic.

11.Presenter #2 Name (if applicable)

12.Professional Affiliation (Law Enforcement, Victim Services, Judicial, etc.)

13.Occupational Title

14.Agency/Organization

15.Presenter's Contact Information

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

16.Please provide a brief bio that includes professional responsibilities, relevant certifications and expertise on the proposed topic