Call to Program 2018
The MeCA Conference Committee announces the Call to Program for the MeCA conference being held March 26th and 27th, 2018 at the Samoset in Rockport, Maine. If you are interested in being a presenter at this year’s conference, please fill out the information below. If you have any questions, please contact:

Kevin O’Reilly
Oxford Hills Comprehensive High School
256 Main St.
South Paris, ME 04281

Telephone: 207-743-8914 ex. 1527
FAX: 207-743-5334

Contact Information:
First Name: *
Your answer
Last Name: *
Your answer
Work Phone: *
Your answer
Cell/Home Phone: *
Your answer
Your answer
email: *
Your answer
Place of Employment: *
Your answer
Credentials (include degree and field of study) - This is required for NBCC/CEU's - You will need to submit a copy of your CV or resume to Kevin O'Reilly *
Your answer
Are you a member of the Maine Counseling Association?
Mailing Address:
Physical address/P.O. Box # *
Your answer
Town/City *
Your answer
Zip Code: *
Your answer
Program Information:
Program Title: *
Your answer
Please write a brief description of the presentation which will be used in the conference program brochure (3-4 sentences): *
Your answer
Target Group (check all that apply) *
Please send a detailed description on a separate sheet. Presenters are responsible for bringing their own presentation materials (projectors, TV’s, computers, flip charts, markers, etc.). If you need a screen for your presentation then please let me know.

The Maine Counseling Association provides contact hours at the conference. MeCA is required to keep a record of our presenters’ qualifications. Please include a brief resume along with your Call to Program form. Your resume must include your educational degree and field of study. Thank you for your support of our professional organization. A confirmation letter will be mailed to you by mid-January, 2018.

I will need a screen
Maine Counseling Association has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 2020. Programs that do not qualify for NBCC credit are clearly identified. Maine Counseling Association is solely responsible for all aspects of the program.
Never submit passwords through Google Forms.
This form was created inside of Maine School Administrative District 17. Report Abuse - Terms of Service - Additional Terms