CALL FOR PRESENTATIONS
“Suicide Prevention: Creating Healthy Communities”
Pennsylvania Suicide Prevention Conference
October Oct 16&17, 2013
Ramada Inn, State College, PA
Deadline for presentation proposals: March 29, 2013
Please read the following information about the conference and then click your mouse once to go
directly to the next page to fill out the form.
Five Tracks:
 Youth/Transition Age Youth
 Adults
 Older adults
 Military/Law Enforcement
 Survivors
Suggested topics:

Post-traumatic stress disorder

Ethnic groups/special populations

Substance abuse

Veterans’ issues

Gambling

Religion and suicide

Men and depression

Pharmaceutical use/misuse

Sports

Innovative programs and
techniques

School programs

Dialectical/Cognitive behavioral
therapies

Corrections

Juvenile justice

Peer programs
Additional information:



The registration fee will be waived for the lead presenter only, and the second presenter will receive a reduced rate of
$50 if he or she plans to stay for the full day of the presentation. Presenters are responsible for their own lodging. A
block of rooms is available at the Ramada Inn at night plus taxes.
We are accepting proposals for 75 minute sessions.
We require that you submit resumes or curriculum vitae for all presenters along with your proposal.
For more information, contact Cindy Richard at crichard@penn-mar.org
“Suicide Prevention: Creating Healthy Communities”
Pennsylvania Suicide Prevention Conference
PRESENTATION PROPOSAL
(you can fill out the form by tabbing from one form field to another or by inserting your cursor in a field)
Title of proposal:
Track (choose only one):
Youth/Transition Age Youth
Adults
Older adults
Military/Law Enforcement
Survivors
Content level:
Basic
Intermediate
Advanced
Desired workshop length:
75 minutes
Lead presenter information:
Name/Credentials:
Title/Position:
Agency:
Address:
City/State/Zip:
Phone/Fax:
E-mail:
Additional presenter information:
Name/Credentials:
Title/Position:
Agency:
Address:
City/State/Zip:
Phone/Fax:
E-mail:
Description of proposal (please limit to 75 words or less): This description will be used in
the conference program. It should clearly and concisely summarize the information about the
workshop you provide in the outline below. We reserve the right to edit for length and clarity.
Proposal outline:
Objectives
Use specific,
observable and
measurable
language
Content
(topics)
Provide an outline
of the content for
each objective
(don’t simply
restate the
objective)
Time Frame
Indicate how
much time will be
spent on each
objective
Presenter
List the presenter
responsible for
each objective
Methods
Describe the
teaching methods,
strategies,
materials and
resources for each
objective
Audio-visual needs:
Computer/LCD
Overhead projector
TV/DVD
Other (please specify:
)
Deadline for presentation proposals: March 29, 2013
You will be notified of our decision by April 12, 2013
Proposals must be submitted electronically to. Cindy Richard at crichard@pennmar.org