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1. Please choose the ONE focus area where your session fits BEST.

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2. Title of Proposed Workshop Session (10 words maximum):

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3. Brief Description of Proposed Workshop Session (200 words maximum):

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4. If your session is based on a program at your agency, please respond to the following:

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5. List three (3) session objectives or learning goals from your session:

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6. What will the audience take away from this session (resources, materials, tools)?

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7. Workshop Format (Please choose ONE.):

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8. What is your preferred session length?

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9. Please indicate your preference for combining your proposed session with another.

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10. Please list up to three (3) presenters for your workshop.

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