Proposal Submission Form

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Call for Proposals
The Practitioner-Scholar Conference
at Hampton Roads
May 21-22, 2015
2015 Annual Conference
Regent University, Virginia Beach, VA
Consider now submitting a proposal for presentation and attending our upcoming
annual conference. The Practitioner-Scholar Conference is a regional conference
aimed to bring together a multidisciplinary group of professionals. The
conference provides opportunities to learn, build relationships and network, and
support professionals and students who are the present and future of the vibrant
mental health community in the Hampton Roads area. The School of Psychology
and Counseling at Regent University invites scholars, psychologists, medical
professionals, mental health clinicians, and students to dialogue on various life
and psychological dimensions of our helping professions. Keynote speakers
include:
John Norcross, Ph.D., ABPP
Lee Underwood, Psy.D.
A. Jordan Wright, Ph.D.
Erica Wise, Ph.D.
The deadline for submitting proposals is March 1, 2015.
Please submit all proposals to: pracscholproposal@gmail.com.
The Practitioner-Scholar Conference at
Hampton Roads
May 21-22, 2015
Proposal Submission Form
Proposals must be submitted electronically by March 1, 2015.
To submit a proposal, complete the following form and send to
pracscholarproposal@gmail.com.
We invite proposals that:
➢ Reflect innovation and cutting edge content
➢ Stimulate and provoke discussion and audience engagement
➢ Deliver best practices using approaches for different types of learners
➢ Present evidence-based research
➢ Target students, early-career, mid-career, and seasoned professionals
You may submit one proposal. Please indicate whether you would like the proposal to be
considered for a one-hour breakout session:
Poster session: Poster sessions allow presenters and attendees to engage in extended
discussion regarding the author’s presentation that is in illustrated format on a poster
board. All poster presentations will need to be mounted on a tri-fold foam board.
Presenters are asked to be at their assigned poster board during the entire length of the
poster session. If your submission is accepted for presentation in a poster session, follow
instructions available at http://www.apa.org/convention/poster-instructions.pdf
Panel discussion: A focused session in which multiple participants present their views
on a common theme, issue or question. The views may or may not be adversarial and
may or may not be supported by brief mention of relevant data. The format usually
consists of an introduction to the topic by a facilitator to provide the audience with a
background for the ensuing discussion. Participants then present their viewpoints,
followed by interchange among participants and between the audience and participants.
Often the panel will end with an overview of the proceedings by the facilitator. Most
important, a panel is not a paper-reading session. Participants should prepare
presentations in advance so the facilitator can prepare a coherent summary. The
facilitator should not give a separate presentation. Their role is to integrate, interpret and
highlight the essential issues raised by participants.
Clinical demonstration: Demonstration of a particular therapeutic style or technique
providing an opportunity to observe its application through direct observation.
2015 Practitioner-Scholar Conference
Proposal Submission Form
Primary Presenter:
Name: _________________________________________________________________
Email Address: __________________________________________________________
Phone Number: _________________________________________________________
Highest Degree: _________________________________________________________
Organization/Institution: _________________________________________________
Title: __________________________________________________________________
Area of Study: __________________________________________________________
Co-presenter:
Name: _________________________________________________________________
Email Address: __________________________________________________________
Phone Number: _________________________________________________________
Highest Degree: _________________________________________________________
Organization/Institution: _________________________________________________
Title: __________________________________________________________________
Area of Study: __________________________________________________________
Title of Presentation:
_____________________________________________________________________________
Program Format:
___ Poster Session
___ Panel Discussion
___ Clinical Demonstration
___ Paper Presentation
3-5 Learning Objectives:
(Please follow instructions at http://www.apa.org/ed/sponsor/about/faq/objectives.pdf)
1.
2.
3.
4.
5.
3-4 References from reputable sources (i.e. Peer Reviewed Journal Articles):
1.
2.
3.
4.
Brief 100-300 word Description of Presentation (APA-Style Abstract):
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Please attach your vitae with your submission
Please initial if you would NOT like to be considered for a poster session IF your breakout
session is not accepted.
_____________
Please submit proposal or any questions to: pracscholarproposal@gmail.com.
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