Contact Information

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* 1. Contact Information

Are you associated with a pregnancy center? If yes, include name, location, and affiliations.

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* 2. Are you associated with a pregnancy center? If yes, include name, location, and affiliations.

Have you presented at other pregnancy center conferences?

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* 3. Have you presented at other pregnancy center conferences?

Referrals (two people who have heard you speak)

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* 4. Referrals (two people who have heard you speak)

Please include a short biography:

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* 5. Please include a short biography:

Title of the proposed workshop:

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* 7. Title of the proposed workshop:

Please write a short description of the workshop material & objectives:

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* 8. Please write a short description of the workshop material & objectives:

Course material is:

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* 9. Course material is:

Please list the name(s) if there is more than one presenter:

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* 10. Please list the name(s) if there is more than one presenter:

I give permission for Care Net to record and distribute/sell my workshop(s):

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* 11. I give permission for Care Net to record and distribute/sell my workshop(s):

My view on abortion:

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* 12. My view on abortion:

Your commitment to Christ and the objectives of Care Net is an important part of your qualifications and requirements for presenting a workshop at the 2015 Care Net National Pregnancy Center Conference.

STATEMENT OF FAITH

1. I believe the Bible to be the inspired, the only infallible, authoritative Word of God.

2. I believe that there is one God, eternally existent in three persons; Father, Son and Holy Spirit.

3. I believe in the deity of our Lord Jesus Christ, in His virgin birth, in His sinless life, in His miracles, in His vicarious and atoning death through His shed blood, in His bodily resurrection, in His ascension to the right hand of the Father, and in His personal return in power and glory.

4. I believe that for the salvation of lost and sinful man, regeneration by the Holy Spirit is absolutely essential, and that this salvation is received through faith in Jesus Christ as Savior and Lord and not as a result of good works.

5. I believe in the present ministry of the Holy Spirit by whose indwelling the Christian is enabled to live a godly life and to perform good works.

6. I believe in the resurrection of both the saved and the lost; they that are saved unto the resurrection of life and they that are lost unto the resurrection of damnation.

7. I believe in the spiritual unity of believers in our Lord Jesus Christ.
I agree to Care Net's Statement of Faith.

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* 13. I agree to Care Net's Statement of Faith.

Please sign and date below (note: An electronic signature typed into the following box equates to a legally binding signature):

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* 14. Please sign and date below (note: An electronic signature typed into the following box equates to a legally binding signature):

This application does not guarantee acceptance as a workshop speaker. It is the responsibility of the applicant to ensure that the application is complete and received by February 19, 2015. Failure to abide by the requirements may result in disqualification of the application. For questions email conference@care-net.org or call our Conference Director, Polly Bennett, at 205-979-7909
KEY DATES:
February 19 – Deadline for submitting workshop proposals
March 11 – Notification of approval/denial
April 9 – Deadline for completed W-9 forms and all required information (if selected)
September 8-11 – Conference dates

LOCATION OF CONFERENCE:
Sheraton San Diego Hotel & Marina
1380 Harbor Island Dr.
San Diego, CA 92101

CARE NET PROVIDES:
• Screen, LCD projector, sound system, and workshop host during your workshop
• Printed and website information regarding your workshop
• $100 discount for main conference registration, if you choose to register
• $125 stipend for each workshop taught. There will be one stipend per workshop (split between if more than one presenter)
• Follow up with workshop evaluations and feedback

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