The 2015 AAP Conference Be Your True Self:
Discovering Inner Resources
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In
In
In
In
Everyday Life
Family and Organizations
Clinical Applications
Global Issues
at the Campus of John Abbott College, Montréal, Québec, Canada
August 5-9, 2015
PROPOSAL OVERVIEW
Introduction:
For this conference, The Association for the Advancement of Psychosynthesis (AAP) encourages proposals for
master classes, plenary talks, symposiums, workshops, and creative group activities related to psychosynthesis
and the application of psychosynthesis in connection to the basic concept of Self, as presented in the works of
Roberto Assagioli and elaborated by other writers. We are seeking effective models and demonstrations of
Psychosynthesis principles and practices from a diverse range of applications (refer to the Proposal). Presenters
are encouraged to share the exciting changes and challenges happening in their field of expertise. All topics of
interest to Psychosynthesis practitioners, counselors, and coaches, clinicians and educators, researchers and
theorists, community activists, systems thinkers and those involved in organizational and leadership development
will be considered.
AAP is an authorized CE provider for the Board of Behavioral Sciences (California), and as of the date of this
document (Oct.1014) has applied for ACEP status with NBCC (National Board of Certified Counselors).The
requirements of this form are inclusive of information required by NBCC and BBS for continuing education
credits. You are invited to be as inclusive as possible in completing the application.
Students in Psychosynthesis Training Programs and Courses are welcome to submit a proposal. Check the
“Student” box in the form.
You are invited to submit more than one proposal if you wish to make more than one type of
presentation—for example, a workshop, a symposium, a master class, or a plenary talk. Please submit a
separate proposal for each presentation you wish to make.
If you need additional assistance with the form, please contact Proposal@aap-psychosynthesis.org.
Instructions for Form Completion:
Please Note:
This document is a fill-in electronic form created in Microsoft Word 2010 document.
The original document is protected, so by design your cursor should start in the box at the top of Page 2.
(If, for some reason, your cursor is at the top of page 1 when you open the document, please go to “Tools” in
your pull-down menu, click “Protect Document”, protect for “Forms” and use the password “AAP”(all
upper case) to protect it – note these instructions may vary slightly depending on the version of Microsoft
Word you are using. This should put your cursor at the top of Page 2 so that you can fill in the form.)
In Microsoft Word:
o Please use the tab key to move forward to the next field
o Fill in the appropriate spaces until you come to the end
o Please save the file (Please “save as” and add your own last name to the file name, so that for example my
file would be called “AAP 2015 Conference Proposal Form Smith.docx”),
o Email this proposal form with the following attachments
o
o
o
your Curriculum Vitae (CV) and a Curriculum Vitae (CV) for each co-presenters (this is
required to obtain CEs)
a jpg photograph of each presenter
any additional documents necessary.
to the Conference Reading Committee at Proposal@aap-psychosynthesis.org with “AAP Proposal” in the
Subject Line(or if necessary mail the printed form to Jan Kuniholm at 61 East Main Street, Cheshire, MA
01225-9627—but email attachments are preferred).
If you propose to make your presentation (en français) in French, check the box and fill in the comments.
Si vous envisagez de faire une présentation en français , s'il vous plaît envoyez un courriel au
président de la conférence à proposal@aap-psychosynthesis.org.
The proposal form is due no later than Jan. 31, 2015.
(Please go on to The Proposal Form on Page 2 of this document)
WORKSHOP PROPOSAL FORM
2015 AAP Conference: Be Your True Self
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PROPOSAL FORM Part 1
Presentation Proposal:
A. Presentation Title:
B. Language: This presentation will be (check one)
in English
en français (in French)
Si vous envisagez de faire une présentation en français, s'il vous plaît envoyez un courriel au
président de la conférence à proposal@aap-psychosynthesis.org.
The primary language for this conference is English. If your presentation is in French, please
indicate whether you are bilingual in English and French (
Yes
No), and whether
English–speaking attendees will be able to learn from this presentation without translation
services.
AAP is committed to accept presentations in French, and expects to be
able to provide translation to provide French translation for Keynote and Plenary talks
presented in English, and English translations for talks and workshops presented in French.
Facilities for translations will depend upon the number of French-speaking attendees who
register.
C. Type of Presentation:
1.
2.
3.
4.
5.
6.
Master Class (75 minutes or 2 hours 45 minutes)
Plenary Talk (60 minutes only)
Panel/Symposium/Group Discussion (75 minutes or 2 hours 45 minutes)
Workshop/Class (75 minutes or 2 hours 45 minutes)
Student Presentation
Other (Please specify)
D. Length of Presentation:
1.
2.
3.
4.
60 minutes
75 Minutes (fills a 1.5 hour block, with a 15 minute break afterward)
2 hours 45 minutes (fills a 3-hour block, with a 15 minute break afterward)
Pre-conference of post-conference seminar (length:
)
E. Category (please check appropriate box) :
1.
2.
3.
4.
5.
6.
7.
8.
Education
Clinical/Medical/Therapeutic Applications
Life Coaching
Psychosynthesis in Organizational Settings
Personal and Social Psychosynthesis
Psychosynthesis in Human Systems
Ecology/Global Issues
Other (specify):
F. Please indicate briefly how your proposed presentation will connect with the Conference’s
theme, “Be Your True Self.”
WORKSHOP PROPOSAL FORM
2015 AAP Conference: Be Your True Self
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G. Presenter(s) Name(s): (Note that detailed Presenter Information is required below, and a CV
and photo must be submitted separately for each presenter)
H. Brief description of presentation (50 words maximum) to be used in the Conference Program:
I. Presenter’s Comments about the presentation, to help the Proposal Committee understand the
nature of the presentation (optional):
J. List 3-5 educational objectives:
1.
2.
3.
4.
5.
Participants
Participants
Participants
Participants
Participants
will
will
will
will
will
be
be
be
be
be
able to:
able to:
able to:
able to:
able to:
K. Please list three reference books related to your presentation (needed to obtain CE’s)
1.
2.
3.
L. In order to qualify for CE granted by NBCC, you must list at least one element in the content of
your presentation that can be used by a mental health professional to aid clients in a mental
health setting:
1.
OR: Check this box if this presentation does not have elements for use by mental
health professionals.
M. Date of material presented:
1.
The material presented is currant and up-to-date—less than six (6) years old.
2.
All or part of the material presented is more than six (6) years old but is still currant.
N. Indicate percentages of time:
% experiential
% didactic
% Q&A
O. Intended Audience (Note: classrooms are limited to 40, auditorium limited to 200) :
1. Intended Group Size:
20
25
30
40
Plenary
2.
Presentation is primarily geared for those with previous psychosynthesis training
3.
Presentation is appropriate for all students and professionals in the helping
professions
4.
Presentation is primarily geared for professional coaches
5.
Presentation is suitable for the general public
6. Can your presentation be done in an ordinary college classroom with a maximum
capacity of 50 attendees?
Yes
No
7. Check this box
if you need extra room for movement during your presentation.
P. Presentation is intended for which Psychosynthesis Training Level
Beginner
WORKSHOP PROPOSAL FORM
Intermediate
Advanced
All Levels
2015 AAP Conference: Be Your True Self
None
4
Check if Training in Psychosynthesis is a Prerequisite to attend this presentation
Q. Audio-visual Aids needed by the presenter(s):
Flip Chart
Screen
Black/white board
Power Point Projector
Other (please specify):
R. Publication of Material (Optional, But checking this box indicates a commitment) :
1.
I/We agree to prepare a written article (2000-5000 words) based upon or related to
this presentation to be submitted in Microsoft Word or similar format to the Conference
Chair before January 1, 2016, for inclusion in a paperback book and/or an e-book to be
published on behalf AAP. The editor of Psychosynthesis Quarterly will be general editor
of the book, which will be published in 2016 if all articles are received on time. The
copyright in my article will be retained by me, but the copyright in the book will be held
by AAP. I/We understand that I will receive one free copy of the book, but that all other
copies of the book will be distributed by AAP or sold, and all of the net proceeds of book
sales will be distributed between the publisher and AAP. I may order bulk quantities of
the book at a discount from the retail price. I/We will retain all rights to use, translate or
re-publish my article without restriction. I/We will sign an agreement as to copyright at
the time my article is submitted.
2.
I/We decline to submit a written article after the conference.
S. Recording of my presentation: AAP may make arrangements for some or all of the
presentations at this conference to be sound recorded or video recorded, as an archive of the
presentations and as a resource for AAP members.
By checking this box I/We give permission for AAP to record my/our presentation and
assign non-exclusive rights to the use of this recording to AAP. I will have the opportunity to
acquire a copy of the recording of my presentation, either at no cost or for the cost of producing
the recording, after the Conference.
I do not give permission for my presentation to be recorded. Additional comments are as
follows (optional):
T. Additional Comments:
Please continue to Part 2 on the next page.
WORKSHOP PROPOSAL FORM
2015 AAP Conference: Be Your True Self
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PROPOSAL FORM Part 2
Notes:
If you plan on having co-presenters, please include the co-presenters form on the next page - for each co-presenter.
Please provide names as you wish them to be used in the Conference Program and other publicity. If you wish academic
degrees etc. to be listed along with the name, such as Jane Doe, Ph.D. please include these in the name—degrees will
not be included in the name in the program unless specifically requested. )
Presenter Name:
Please provide a brief (50 words) statement regarding your qualifications to offer the presentation (a
biography suitable for use in conference material.)
Name (first and last):
Highest Degree(s):
Conferred by:
Discipline:
Institutional affiliation:
State or Provincial licenses or Agency Certifications held:
1. State/Province:
License/Certification Type:
2. State/Province:
License/Certification Type:
3. State/Province:
License/Certification Type:
4. State/Province:
License/Certification Type:
Mailing Address:
City:
State or Province:
Phone: (home)
E-mail:
Postal Code:
(work)
Country:
Psychosynthesis Training received:
Books and articles published or other information you would like to Conference Committee to know
about:
Please list the workshops you have offered during the past 5 years:
Title:
Date:
Settings/Audience:
Title:
Date:
Settings/Audience:
Title:
Date:
Settings/Audience:
WORKSHOP PROPOSAL FORM
2015 AAP Conference: Be Your True Self
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Title:
Date:
Settings/Audience:
Title:
Date:
Settings/Audience:
Title:
Date:
Settings/Audience:
Publicity: Please provide details on how you can help us to publicize your engagement and the
conference (i.e. online communities to which you belong, website announcements, blogs you write,
etc.
Miscellaneous Notes and Comments by Presenters:
Co-Presenter Information (If appropriate):
Note: If there is more than one co-presenter, copy this page and attach a separate page for each co-presenter.
Co-Presenter Name:
Please provide a brief biography (50 words) suitable for use in conference material.
Name (first and last):
Highest Degree(s):
Conferred by:
Institutional affiliation:
State licenses or Agency Certifications held:
1. State:
License/Certification
2. State:
License/Certification
3. State:
License/Certification
4. State:
License/Certification
Mailing Address:
City:
State or Province:
Phone: (home)
E-mail:
Postal Code:
(work)
Discipline:
Type:
Type:
Type:
Type:
Country:
Psychosynthesis Training received:
WORKSHOP PROPOSAL FORM
2015 AAP Conference: Be Your True Self
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Books and articles published or other information you would like to Conference Committee to know
about:
Title:
Date:
Settings/Audience:
Title:
Date:
Settings/Audience:
Title:
Date:
Settings/Audience:
Title:
Date:
Settings/Audience:
Title:
Date:
Settings/Audience:
Title:
Date:
Settings/Audience:
Publicity: Please provide details on how you can help us to publicize your engagement and the
conference (i.e. online communities to which you belong, website announcements, blogs you write,
etc.
Miscellaneous Notes and Comments by Presenters:
WORKSHOP PROPOSAL FORM
2015 AAP Conference: Be Your True Self
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