Thank you for your willingness to submit a proposal for our 4th Annual Mental Health Conference in Yavapai County. The 2-day conference will be held on July 16th & 17th, 2025 at Prescott Resort & Conference Center. Each breakout session will be 50 minutes.

The theme for the 2025 conference is "Exploring Dimensions of Wellness". Please incorporate one or more of the eight dimensions of wellness in your breakout session proposal and connect that dimension to mental health.

The eight dimensions of wellness include social, emotional, physical, intellectual, financial, environmental, occupational, and spiritual.

In order for your proposal to be adequately reviewed, we ask that you kindly complete all the information below. If you are submitting more than one breakout session proposal, please complete a separate entry for each proposal.

Need ideas or guidance on the kinds of topics we are looking form? Check out this link: https://docs.google.com/document/d/1B6ojOeQt33OL2TSuzEVsNsAj8dYSQkWC0nlcrl9_q4Q/edit?usp=sharing

The deadline to submit a proposal is March 31st, 2025.
Final decisions will be made and emailed by April 30th, 2025.

If you have any questions, concerns, or would like to make a change to your form, please email ally.stallman@yavapaiaz.gov. Thank you!

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* 1. First Name

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* 2. Last Name

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* 3. Degree/Credential (i.e., MPH, PhD, MD, none, etc.)

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* 4. Title/Position

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* 5. Affiliation/Organization

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* 6. Phone number

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* 7. Email

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* 8. Mailing address

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* 9. I can present on:

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* 10. Bio/Introduction: Please provide a few sentences telling us about you and your expertise in support of this presentation (3-5 Sentences)

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* 11. Title of Breakout Session

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* 12. Description of breakout session

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* 13. Please list 2-3 Learning Objectives (e.g., by the end of this workshop, participants will learn about...)

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* 14. Briefly describe which dimension of wellness your presentation relates to and its connection to mental health.
Dimensions of wellness: social, emotional, physical, intellectual, financial, environmental, occupational, and spiritual.

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* 15. Do you have any experience with public presentations? If so, please list examples of the venue and topic.

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* 16. Comments or questions for us?