PRESENTER INFORMATION
Please complete the following information exactly as it should appear in all conference materials including the final brochure and name badges.

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* 1. Lead Presenter Information:

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* 2. Additional Presenters:

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* 3. Additional Presenters:

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* 4. Additional Presenters:

PRESENTATION INFORMATION
Please complete the following information exactly as it should appear in all conference materials including the final agenda. Description for agenda is limited to 500 characters.

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* 5. Presentation Information

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* 6. Please indicate availability for presentation (check all that apply):

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* 7. Continuing Education Credits for Social Workers, LMHC & CASAC:

All sessions will be submitted for continuing education credits for social workers, licensed mental health counselors and CASAC.

Please add three (3) - five (5) Learning Objectives about your presentation below. Each objective should begin with “After completing this session, participants will…”

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* 8. In accordance with the credit offering organizations, we must have a resume, bio and/or CV for all presenters offering credit. Please upload your information here.

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