Saturday 1.5-hour Workshop Proposal
Propose your 1.5-hour workshop on a clinical topic that invites participation and practical application.

Illinois Affiliation of Marriage and Family Therapists
Conference: April 4, 5, & 6, 2018
NIU Conference Center
1120 E. Diehl Road, Naperville IL, 60563

Deadline for Submission: January 31, 2018
IAMFT Notifies Acceptance: February 8, 2018

Title of Proposed Workshop *
10 words or less
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Learning Objective #1 *
List at least three learning objectives
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Learning Objective #2 *
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Learning Objective #3 *
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Learning Objective #4
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Room Setup
Workshop room setups can vary. Please indicate below if you have a reason for a special room set up.
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Lead Presenter Name *
Provide name (as you would like listed in program guide)/credentials as desired for program guide (limited to 2 presenters); For workshops to qualify for continuing education credits, one presenter must be Masters level or above and trained in Marriage and Family Therapy or other appropriate mental health field with education and experience in relational systems, clinical practice, and the topic to be presented.
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Lead Presenter Cell Phone *
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Lead Presenter Email *
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Lead Presenter Bio *
Brief Bio (incl license, degree, current position/organization)
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Presenter 2 Name
Provide name (as you would like listed in program guide)/credentials as desired for program guide
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Presenter 2 Phone
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Presenter 2 Email
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Presenter 2 Bio
Brief Bio (incl license, degree, current position/organization)
Your answer
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