NASW-MISSOURI CHAPTER
Call for Presentations
Continuing Education Workshops
Revised April 2012
NASW-Missouri Chapter is soliciting proposals for presentations on relevant and/or emerging
issues. Proposals for full day (6.0 clock hours) sessions are encouraged. Submission of a Call
for Proposal does not mean it will automatically be accepted. The proposal will be reviewed and
the presenter will receive notification of whether or not it has been accepted for the next
Continuing Education Series.
The Continuing Educations Series, a catalog of continuing education workshops, is published
twice each year. To allow for production, mailing, and processing registrations, the following
schedule applies:
Volume I – January thru June workshops
Volume II – July thru December workshops
Proposals due by September 1
Proposals due by April 1
Compensation/Reimbursement of Expenses
NASW-Missouri Chapter does provide compensation to workshop presenters. Rates are
negotiable and can be paid directly to the presenter or to their agency. Rates may be hourly or a
flat fee. Hourly rates are paid based on the number of continuing education clock hours earned
by the attendees. The presenter is responsible for any costs relating to the course preparation,
materials or handouts, and travel expenses.
NASW-Missouri Chapter Professional Development Diversity Instruction Policy
All NASW affiliated presentations, professional development offerings, and publications must
include content that demonstrates respect, appreciation, and knowledge of current diversity
issues related to the topic. Regardless of the subject matter or presentation format, content must
include the significance of diversity factors in relation to appropriate and effective diagnosis,
intervention, and treatment including, but not limited to: race, ethnicity, culture, socioeconomic
class, gender, age, disability, sexual orientation, religion, and immigration status. NASWMissouri is committed to seeking presenters from diverse and multi-cultural backgrounds.
ADA Compliance
NASW Missouri makes every effort to meet the diverse needs of social workers with disabilities
in Missouri. In doing so, we ask our presenters to prepare in the event an alternative form of
education is needed. In the event that a person registers for this presentation and requests
accommodations for an alternative form of instruction, the presenter must agree to comply with
reasonable requests from NASW Missouri to provide appropriate materials for translation or
adaptation (i.e. provide handouts or notes for an interpreter, allow for audio or videotaping of the
presentation). Such production at the expense of NASW Missouri then becomes property of
NASW-Missouri and will not be distributed for any other purpose without consent.
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Proposals are also sought for breakout sessions at the annual Symposium and Fall Institute.
These are generally shorter sessions, usually ninety minutes in length or possibly two ninetyminute sessions. Contact the chapter office or visit our website to obtain the proper form to
submit your presentation and verify the proposal deadline.
NASW MO Chapter Workshop Presentation Proposal
Presentation Title
 New
 Reoccurring (List dates and locations):
This Presentation is
Level of Practice
 Basic
 Clinical/Advanced
Length of Presentation
 6.0 Clock Hours
 Other
 Intermediate
 All practice levels
“Clock Hours” is defined as 60 minutes of instruction time, and does not include breaks or meals.
For example, a 6.0 clock hour workshop may start at 8:30 am and conclude at 4:00 pm with two
15-minute breaks and a one-hour break for lunch.
Location I
Location II
Dates (*Must be
completed)
Please check where you are willing to present:
 St. Joseph
 Kansas City area
 Hannibal
 Springfield
 Poplar Bluff
 St. Louis area
 West Plains
 Cape Girardeau
 Joplin
 Jefferson City/Columbia
 Other (specify) _________________________________
Do you have access to a meeting room, conference room or classroom versus
hotel space?
What date(s) are you available to present the workshop?
Room Setup
 Classroom style with podium and audio/visual cart or table.
 Other (Please Describe)
Audio Visual
Equipment Needed




LCD/Power Point Projector
Extra table for materials
White Board
Speakers to enhance sound of
 Lap Top Computer
 Flip Chart
 Other _______________________
DVD played thru laptop
NASW Missouri Chapter does own some of its own audio visual equipment, which we make
available to presenters. Although we can accommodate most requests, equipment that is deemed
“extra-ordinary” will be the responsibility of the speaker.
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Method of Presentation:
The following information will be used to evaluate the viability of the workshop, and also will be
used in promotional materials. NASW MO Chapter reserves the right to edit printed material.
Description of Program - Describe your program in one to two paragraphs.
Educational Objectives - List learning objectives and/or outcomes.
Presenter Information
Please send a photo that we may include in promotional materials.
Either electronic format or actual photo is acceptable.
Name
Agency/Organization:
Job Title
NASW Member?
Academic Degree(s)
 Yes
 No
Credentials
(if applicable)
Member #
Professional License
 Social Worker
License #
Expiration date:
 Other ______________________
Issued by the state of:
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Has your license ever been suspended or have you ever been on professional probation?
□ No
□ Yes (explain)
Email
Work Address
Home Address
Work Number
Home Number
Fax Number
Cell Number
Do you prefer written correspondence sent to:
 work or
 home address?
Biography Information (May be edited to 3-6 sentences for promotional material)
Co-Presenter Information (if applicable): Copy previous page and provide same information
Pay Information
Rate of Pay



I would like to donate my services to NASW
Flat rate of $_________ per day (Maximum $600.00)
Hourly rate of $__________ per hour
Please indicate exact payee and address. If your presentation is accepted, you will be required to
complete a W-9 Request for Taxpayer Identification Number and Certification form in accordance
with IRS regulations.
Name
Address 1
Address 2
City/State/Zip
I understand that NASW-Missouri Chapter is not in the position to pay for travel, lodging or other
expenses associated with the workshop. If this proposal is accepted, I/we agree to be in
attendance for the presentation on the date and time assigned and to provide a sufficient number
of copies of any handouts I/we need for our presentation.
Presenter’s Signature
Date
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For Official Use Only
Date
Reviewed by ______________________________________________________________
Received
Recommended by_________________________________________________________________________________
Requested by ______________________________________Considerations ________________________________
Category________________________________________________________________________________________
Other __________________________________________________________________________________________
Accepted
 Yes
 No
Reason(s) for not accepting at this time
Date
Send completed applications to:
Jennifer Wehmeyer, Professional Development Coordinator
NASW-Missouri Chapter  P.O. Box 2043  Jefferson City, MO 65102-2043
or
email to prof.dev@nasw-mo.org
Questions? Call 800-333-6279 or email to above
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