Pre-Meeting Institute: Submission Form

Thank you for your time and interest in submitting a proposal to present at the Center for Deployment Psychology's EBP fifth annual virtual conference! Submissions will be open until November 30th, 2024 and acceptance notifications will be sent out late January, 2025.

If you have any questions, please reach out to Project Manager Jeremy Karp at jeremy.karp.ctr@usuhs.edu

Contact Information

Question Title

* 1. If you are interested in proposing a Pre-Meeting Institute at one of CDP's future EBP Conferences, please provide your contact information below:

Name

Organization

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. Please indicate your profession:

Question Title

* 3. Please indicate your job title:

Presentation Proposal Form Fields

Question Title

* 4. Please provide a title for your proposed Pre-Meeting Institute:

Question Title

* 5. Please provide a brief description of your proposed Pre-Meeting Institute.

(1000 characters max)

Question Title

* 6. Learning Objectives (1 per instructional hour)

Learning Objective One:

Learning Objective Two:

Learning Objective Three:

Learning Objective Four:

Learning Objective Five:

Learning Objective Six:

Learning Objective Seven:

Learning Objective Eight:

Learning Objective Nine:

Learning Objective Ten:

Learning Objective Eleven:

Learning Objective Twelve:

Learning Objective Thirteen:

Learning Objective Fourteen:

Learning Objective Fifteen:

Learning Objective Sixteen:

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* 7. What is your intended length of your PMI?

2 day

1 day

Half day

Other (please specify)

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* 8. Primary Presenter

First Name:

MI:

Last Name:

Credentials:

Title

Affiliated Institution:

Email Address:

Telephone:

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* 9. Would you like to add an additional presenter(s)?

Yes

Pre-Meeting Institute: Submission Form

Question Title

* 1. If you are interested in proposing a Pre-Meeting Institute at one of CDP's future EBP Conferences, please provide your contact information below:

Question Title

* 2. Please indicate your profession:

Question Title

* 3. Please indicate your job title:

Question Title

* 4. Please provide a title for your proposed Pre-Meeting Institute:

Question Title

* 5. Please provide a brief description of your proposed Pre-Meeting Institute.(1000 characters max)

Question Title

* 6. Learning Objectives (1 per instructional hour)

Question Title

* 7. What is your intended length of your PMI?

Question Title

* 8. Primary Presenter

Question Title

* 9. Would you like to add an additional presenter(s)?

* 5. Please provide a brief description of your proposed Pre-Meeting Institute.

(1000 characters max)