Full length sessions only.   Mini session use alternate form.

CEU Approval - 
Note: Many delegates attending the IPRA Conference are seeking CEU's for renewing their professional certification.   The primary goal of a CEU session is to improve performance.   It is important to fill out this application to ensure your session is developed appropriately to qualify for CEU approval.   If information is incomplete, your session will not be retained as a CEU session.  Please complete all information for your session by checking or completing all of the required information on the form.

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* 1. Session Title

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* 2. Session education track

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* 3. Session Description (50 words or less, please do not repeat the learning objectives in the description)

Measurable Learning Outcomes -
In addition to the description, each session must have clear and concise written statements of intended learning outcomes. Learning outcomes are commonly referred to as behavioral or performance objectives and are written statements of what the learner is expected to accomplish as a result of the learning activity. Learning outcomes must be observable and measurable. When writing learning outcomes, verbs, which are not observable and measurable, cannot be used. For example, the verbs - “know, understand, learn, appreciate, grasp, improve, and enhance” - cannot be measured. Suggested verbs for writing learning outcomes include: count, define, describe, identify, list, name, outline, quote, read, recall, recognize, reproduce, state, write, discuss, estimate, give examples, predict, and summarize. 

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* 4. List three learning outcomes that begin with, “Participants will . . .”

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* 5. Session Outline/Timeline - 
This information is required to be eligible for CEU's and should include a detailed timeline with topics, sub-topics, activity, Q&A.

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* 6. Instructional Method/s

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* 7. Session Length

Speaker Information -
Speaker #1 will be considered the primary contact person for the Education Sub-Committee.   Please complete information for each speaker.

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* 8. Speaker #1 contact information
Additional speakers can be added at the bottom of the form.

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* 9. Has this speaker presented the content before?

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* 10. If yes, where?

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* 11. Honorarium/Expenses -
IPRA has very limited funds for speaker fees and expense reimbursement. The majority of our presenters volunteer their time and talents. Please enter a complete breakdown of any required fee or reimbursement.

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* 12. Audio Visual - 
Each full session will be provided with a laptop computer, projector, slide advancer and screen.  Microphones are provided in larger rooms.   If you need any of the following, it must be requested prior to the event.   Nothing can be added after Oct. 15th.

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* 13. Speaker #2 - if applicable

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* 14. Speaker #3 - if applicable

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* 15. Speaker #4 - if applicable

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