Georgia Society of Adlerian Psychology 2022 Proposal Form
When: August 26th, 27th and 28th 2022
Where: at the DoubleTree by Hilton Atlanta Perimeter Dunwoody,
4386 Chamblee Dunwoody Road, Atlanta, GA 30341

______________________________________________________________________________________________________________
Proposal Deadline: January 30th, 2022

• Those presenting at the conference will be provided a $50 discount on their 3 day, 2022 conference registration per each hour of presentation time up to the cost of the conference. Such that 3 hours of presentation time = $150 discount. Should there be 2 or more presenters, the discount applies to only one presenter.
• Student presenters (15 minute presentations) will be provided a $50 discount on their 3 day, 2022 conference registration reduced student rate.
• Presentations that include demonstrations will be given preference.
Sign in to Google to save your progress. Learn more
Email *
LENGTH OF PRESENTATION: *
TITLE OF PRESENTATION *
PRESENTER(S) (please list primary presenter first then co-presenter[s]. This is how names/credentials will be listed in conference materials): *
PREVIOUS EXPERIENCE: Describe previous experience as workshop leaders, any special qualifications on the subject matter and current license(s) or certification: *
PRIMARY PRESENTER’S CONTACT INFORMATION: Address & Phone: *
THIS PRESENTATION IS FOR: *
Required
THIS PRESENTATION WILL BE: *
MAIN OBJECTIVE(S): Please list at least one Main Objective for each hour of your presentation. For help in writing the learning objectives please visit the following sites as NBCC and GA Psychology have provided helpful tips. http://www.nbcc.org/Assets/CeProvider/ACEPLearningObjectives.pdf and/or https://cdn.ymaws.com/gapsychology.site-ym.com/resource/resmgr/imported/APA%20Writing%20Learning%20Objectives%20Requirements.pdf Objectives will be listed with the Summary Descriptions for participants and used to assess the effectiveness of the session. *
SUMMARY DESCRIPTION (in NO MORE THAN 50 words for brochure): Please no more than 50 words. *
DETAILED WORKSHOP SCHEDULE:(example: 10 minutes - introductions/greetings and agenda for the session 20 minutes - intro to Adlerian theory 20 minutes – purpose and use of Life-Style Assessment explained) *
ADLERIAN CONCEPTS AND/OR TECHNIQUES TO BE ADDRESSED: *
LIST PUBLICATIONS RELEVANT to the presentation (you do not need to be the author of these publications):This list must include at least 5 peer-reviewed references (i.e. journals) (in APA format) published within the past 10 years. *
DIVERSITY STATEMENT: A multiculturally-competent approach to continuing education respects peoples’ complex identities. It acknowledges that there are no “one size fits all” remedies and considers that the specific needs of diverse groups often require modification in how we think about and treat the clients we serve. Please explain how the content of your workshop will consider and address at least one aspect of the general population’s diversity (e.g., differing ages, races, sexual orientations, religions, gender identities, cultures, abilities or socio-economic realities). *
CONFLICT OF INTEREST During the past 12 months has the presenter or their spouse/partner had a financial, professional or personal relationship that might potentially bias and/or impact content of the educational activity/session? *
If Yes to Conflict of Interest please explain
WE WILL NEED: GSAP will do our best to accommodate but cannot guarantee that the room will be large enough or equipped to meet these needs.
Clear selection
PLEDGE: I (and my co-presenters) will abide by the ACA/APA Ethical Principles as they might apply to my (our) presentations and will apply an awareness, knowledge, and skills regarding the principle of social equality in my presentation. *
VITA: Please submit a 1 page vita for each presenter to admin@adlergeorgia.org
We greatly appreciate your support through presenting and want to express our gratitude for your socially-interested contribution.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy