Provider’s Day: June 11, 2009
Community Days: June 12-13, 2009
Call for Proposals
Application Deadline: January 15, 2009
Please submit to: pthc.programming@gmail.com
The Philadelphia Trans-Health Conference committee is currently seeking workshop, panel, and symposium proposals for its 2009 conference. Providers Day programming seeks to provide medical providers, mental health workers, social workers, clergy and educators with the tools that they need to provide inclusive services to transgender individuals and their families. Community Days programming seeks to provide community members, families, partners and allies with the tools that they need to succeed and thrive within our community and within their daily lives.
We are committed to providing comprehensive and diverse programming. Our 2009 theme is “Different Paths… One Journey.” In an effort to enhance our offerings at Providers Day this year, we would like to host at minimum two symposiums and two panel discussions.
Symposiums are geared towards individuals who would like to present information about their relevant research projects. The type of research presented can include: dissertation studies, bachelor/master level theses, need assessments, NIH funded projects, etc.
Panel discussions are more general in nature and consist of individuals with experience both personal and professional who would like to explore an open dialogue about their experiences, ideas and perspectives with others.
Suggested topic areas for workshops, symposiums and panels include (but are not limited to):
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Provider’s Day workshops are two hours in length.
Community Days workshops are 75 or 90 minutes in length.
Workshop Confirmation: All potential presenters will receive an email accepting or declining selection of the proposed workshop no later than March 1, 2009. All presenters who have received acceptance must confirm their intentions to present their proposed workshop, symposium or panel at PTHC 2009 within two weeks of the date of the email. If confirmation is not received we will replace the proposed workshop with another choice.
Program/Workshop Proposal
Philadelphia Trans-Health Conference
Provider’s Day & Community Days
Application Deadline: January 15th, 2009
Please submit to: pthc.programming@gmail.com
**double click on all grey areas to insert text
**double click on all grey boxes to check them
Submission for: (check all applicable)
(Thursday, June 11th) (Friday & Saturday, June 12th,13th)
Submission type: (check one only)
Workshop
Includes Lectures, Seminars, Presentations, Panel Discussions, Round Table Discussions, Poster Session, Symposiums, Film Presentations with Discussion
Film
To
be included in our Film Fiesta
Entertainment
Includes any talent for display such as photo/art or a submission for our “Not So Talented” Talent Show (Friday Night)
Presenter Information Section
Please complete the Multiple Presenters Information Section at the end of this form for each individual presenting in this proposal.
Best way to contact you: Phone 1 Phone 2 Email
Please let us know how to identify you if different than the information listed and if you do not want us to identify ourselves as affiliated with the Philadelphia Trans-Health Conference:
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Educational Background (degrees, years and institutions): (omit for Film/Entertainment)
(Required)
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Current Positions: (Title, Place of Employment, number of years in position) (omit for Film/Entertainment)
(Required)
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Workshop Information Section
Session Title (Film or Entertainment Title)
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Session Description and Objectives (Film or Entertainment Description) (100-300 words)- used solely by committee for proposal review, this will not be published anywhere. (Please state 3 objectives by finishing the sentence “This program is designed to help participants…”. Think of what new skills or knowledge will be gained. Use phrases containing action words to describe what will be accomplished.)
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Conference Packet Description (Film or Entertainment Description) (50 words or less)- to be published in the conference packet
(Note: Words exceeding the 50 count limitation will be omitted)
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Presenter Bio (Producer or Entertainer Bio) (50 words or less)- to be published in the conference packet
(Note: Words exceeding the 50 count limitation will be omitted)
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Intended Audience- please describe for the committee the type of audience for which your workshop is designed (i.e. SOFFA’s, FTM youth, anyone, mental health providers, etc.)
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Level of Information to be covered: (omit for Film/Entertainment)
Introductory Intermediate Advanced
Closed Workshop Requested (should this workshop only be open to a certain population) (omit for Film/Entertainment)
Yes No
Workshop is appropriate for the follow ages- check all that apply
Type of Workshop- check all that apply (omit for Film/Entertainment)
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Workshop/Lecture |
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Panel Discussion |
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Discussion |
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Film with Discussion |
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Interactive |
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Symposium (2 or more presentations on a common theme) |
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Providers Day Only: |
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Other (describe) |
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Round Table Discussion |
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Poster Sessions (in corridor) |
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Continuing Education |
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(CME/CEU credits available) |
Note: A projector, projector screen, flipchart and markers will be available in every workshop room. All other equipment is the responsibility of the presenter.
Previous Workshop Experience (omit for Film/Entertainment)
Have you ever presented this workshop before? If so where?
Where?
Have you presented other workshops before? If so what and where? (if your list is extensive please just give us a few highlights)
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Accessibility Needs- please describe below any accessibility needs that you or other presenters who will be with you may have. (omit for Film/Entertainment)
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Scheduling Preference – please tell us when you would ideally like to present. It is NOT guaranteed that this preference will be met, but the committee will inform you of when your session is scheduled at the time of proposal acceptance. (omit for Film/Entertainment)
Provider’s Day (6-11-09)
Thursday AM
Thursday PM
Community Days (6-12,13-09)
Ethical considerations
(Required)
Are you presenting information about your practice or research? Yes No
If yes, has privacy been safeguarded? Yes No
If yes, have all necessary permissions been obtained? Yes No
Conference Policies:
I agree to the following conference policies:
I give permission to PTHC to use the title and description of my presentation for promotional purposes
I promise to deliver my presentation as scheduled or send a qualified substitute, upon notifying PTHC
I agree to disclose to the audience any real or apparent conflict of interest related to the content of my presentation
I agree to include diversity considerations in my presentation whenever possible.
X (type name of primary presenter to agree)
If you have questions or to submit this completed form please email Vega Darling at pthc.programming@gmail.com or mail to
PTHC Programming Committee
c/o Mazzoni Center
1201 Chestnut St. 2nd Floor
Philadelphia, PA 19107
All workshop proposals are due by January 15, 2009
I wish to make a donation to PTHC in the amount of $
Send checks (include “PTHC 2009” in the memo), made payable to Mazzoni Center to:
Philadelphia Trans-Health Conference
c/o Mazzoni Center
1201 Chestnut St. 2nd Floor
Philadelphia, PA 19107
Multiple Presenters Information Section
Please complete this section for each individual presenting in this proposal.
Name:
Preferred Pronouns:
Email:
Phone # 1: Phone #2:
Address:
City, State, Zip:
Best way to contact you: Phone 1 Phone 2 Email
Please let us know how to identify you if different than the information listed and if you do not want us to identify ourselves as affiliated with the Philadelphia Trans-Health Conference:
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Educational Background (degrees, years and institutions):
(Required)
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Current Positions: (Title, Place of Employment, number of years in position)
(Required)
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Presenter Bio (50 words or less)- to be published in the conference packet
(Note: Words exceeding the 50 count limitation will be omitted)
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Previous Workshop Experience
Have you ever presented this workshop before? If so where?
Yes
Where?
No
Have you presented other workshops before? If so what and where? (if your list is extensive please just give us a few highlights)
Yes
No
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For more information, go to www.trans-health.org