Conference - 2023 Call for Presentations

MCOA Fall Conference

October 11, 12 & 13

at the Doubletree, Danvers, MA

Theme: Taking Charge of Change

Deadline: 6/1/2023*

Deadline extended to 6/16/23

Proposal Submitted By:

First Name *

Last Name *

Organization *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Will you be the primary contact for this workshop for all communications from MCOA? *

Yes

No

Please list the information below for the primary contact person for communications from MCOA regarding this workshop going forward:

First Name *

Last Name *

Organization *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Workshop Details:

Who will be the presenter(s) of this workshop? Please list name, title and organization as you would want listed in the Conference booklet. *

Program Title *

Program Description (As you'd like it in the Conference Booklet) *

Presentation format: *

Do you have any audio/visual needs other than a projector and screen? *

No

Yes (please specify) Yes (please specify)

Who is your target audience? *

Would you like to submit your workshop for CEUs? *

Yes

No

Please list the presenter(s) credentials *

Please list three learning objectives of the workshop *

	you must have all three items
Objective 1	you must have all three items
Objective 2	you must have all three items
Objective 3	you must have all three items

Please list three bibliographic references for the workshop *

	you must have all three items
Reference 1	you must have all three items
Reference 2	you must have all three items
Reference 3	you must have all three items

Please write a short paragraph on how the course content enhances macro or clinical social work practice (For social work CEUs only)

Please select the date(s) and time(s) you would prefer

	Session I 10:45–12:00 noon	Session II 1:15-2:30 pm	Session III 2:45–3:45 pm	Session IV 4:15–5:15 pm
Wednesday, October 11	Session I 10:45–12:00 noon	Session II 1:15-2:30 pm	Session III 2:45–3:45 pm	Session IV 4:15–5:15 pm

Please select the date(s) and time(s) you would prefer

	Session I 9:00-10:15 am	Session II 10:45-12:00 noon	Session III 2:45–3:45 pm	Session IV 4:15–5:15 pm
Thursday, October 12	Session I 9:00-10:15 am	Session II 10:45-12:00 noon	Session III 2:45–3:45 pm	Session IV 4:15–5:15 pm

	Workshop Session 1 - 9:00-10:15am	Workshop Session 2 - 10:30-11:45am
Friday, October 13	Workshop Session 1 - 9:00-10:15am	Workshop Session 2 - 10:30-11:45am

Ideally, the length of your workshop is: *

Have you presented this workshop before? *

Yes

No

Please list references for past workshops. Please include emails and/or telephone numbers.

I would be interested in providing training at other times of the year

Yes

No

If you are interested in other training opportunities, please let us know what topics you could speak to: