Workshop Proposal form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for your interest in providing continuing education workshops to mental health counselors. Please complete the form below and prepare to upload your resume at the end.

Name *

First and last name

Email *

Phone number

Which content area would you classify your presentation? *

Counseling Theory

Human Growth and Development

Social and Cultural Foundations

Group Dynamics and Counseling

Career Development and Counseling

Assessment

Research and Program Evaluation

Counselor Professional Identity and Practice Issues

Wellness and Prevention

Required

What is the length of your presentation? *

1 hour

2 hours

3 hours

Other:

Required

Please provide a brief description of your presentation: *

What are the learning objectives of your presentation (What will attendees learn and understand after your workshop)? Please list at least 3 learning objectives. *

Are you comfortable conducting virtual/and in person workshops? *

Virtual Only

In Person Only

Virtual and In Person

Please send your resume to info@positiveredirection.com

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Positive Redirection.

Does this form look suspicious? Report

Forms