2018 Meaningful Care Conference Request For Proposals
Please complete all of the following information by Friday, January 5, 2018, 5 P.M. Should this proposal be accepted, information included may be posted on the meaningfulcare.org website and be published in the final conference program. Please note that we may ask you to add to or clarify an aspect of your presentation as part of the reviewing process. Please contact Caitlin Wells with any questions: cwells@cascadeaids.org.
Email address *
Presentation Title *
Your answer
Name of Primary Presenter *
Your answer
Professional Organization / Association *
Your answer
How does your presentation relate to the 2018 Conference theme: LGBTQ+ Health: Advancing A Diverse Community Together? Please describe in 3 - 4 sentences. *
Your answer
Additional Presenter Information (if applicable)
Your answer
Presentation Summary: Please provide a brief paragraph summarizing your presentation. *
Your answer
Learning Objective One *
Your answer
Learning Objective Two *
Your answer
Learning Objective Three
Your answer
Intended Audience *
Check All That Apply
Required
Workshop/Presentation Content Level *
(beginner level suggests attendees have little LGBTQ+ cultural competency and awareness of issues being presented; advanced level assumes attendees are proficient in providing LGBTQ+ competent care)
Presentation Method *
How do you need the room set up? *
Audio Visual Requirements *
Required
Primary Presenter Contact Information: Mailing Address *
Your answer
Primary Presenter Contact Information: Telephone Number *
Your answer
Primary Presenter Contact Information: Email Address *
Your answer
Primary Presenter Contact Information: Agency Website (if applicable)
Your answer
Primary Presenter: Brief Biographical Profile *
Please describe your education/experience in 3 - 4 sentences.
Your answer
Co-Presenter: Brief Biographical Profile
Please describe your education/experience in 3 - 4 sentences.
Your answer
PROPOSAL CONTACT: If different than PRIMARY presenter
This person will receive all conference correspondence. Please include name, address, email, phone number.
Your answer
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