CE Proposal Submission Form
Please complete the proposal submission form below and upload a copy of your CV. Proposals received on or before January 31st will be reviewed in February, with notifications of acceptance to be sent out prior to March 1st. Proposals received on or before August 31st will be reviewed in October, with notifications of acceptance to be sent out prior to November 1st.
Length of Program *
- 1-hour (1 CE)
- 2-hours (2 CEs)
- 3-hour (3 CEs)
- 4-hour (4 CEs)
Program Level *
- Beginner
- Intermediate
- Advanced
- All Levels
Professional Audience *
- Mental Health Professionals
- Psychologists
- Psychiatrist
- Social Workers
- Counselors
- Other
Please select your programs specialty area. *
- Forensic
- Clinical
- Police & Public Safety
- Counseling
- Child & Adolescent
- Digital Mental Health
Please list at least 4-6 learning objectives for your program *
Abstract/summary of the program’s content in 250 words or less *
Keep in mind this will be used to advertise your program if accepted. Please include what will be covered and how this will benefit participants.
Brief outline of how you plan to structure the program *
This should include the key topics you intend to cover as well as how you plan to structure the presentation (e.g., interactive activities, polls, break-outs, discussion groups, assignments).
Who do you envision being your target audience for this program? * *
What stage of their career would be at?
What specialty area would they likely work in?
What kind of environment do they work in?
Have you presented with CONCEPT previously?
- Yes
- No
Presenter #1 - Please upload a copy of your CV *
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Presenter #1 - Please include a brief biosketch *
Presenter #1 - Please upload a headshot *
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Presenter #1 - What system are you using to present on? *
- Apple
- PC
- Other
Is there an additional presenter? *
- Yes
- No
Our CE programs must meet at least one of the following criteria. Please select the most relevant option for your proposed workshop *
1.1 - Program content focuses on application of assessment and/or intervention methods that have overall consistent and credible empirical support in the contemporary peer reviewed scientific literature beyond those publications and other types of communications devoted primarily to the promotion of the approach.
1.2 - Program content focuses on ethical, legal, statutory or regulatory policies, guidelines, and standards that impact practice, education, or research.
1.3 - Program content focuses on topics related to practice, education, or research other than application of assessment and/or intervention methods that are supported by contemporary scholarship grounded in established research procedures.
- 1.1
- 1.2
- 1.3
- N/A
Briefly describe how the proposed program content meets the criterion you specified above. *
How would the learnings from this program be applied in practice? *
How would they affect a person’s career, in terms of; job/promotion prospects, salary, or personal fulfillment?
Why is this program uniquely valuable?
Briefly describe how your proposed program promotes equity, inclusion, and justice. *
A core foundation of CONCEPT is education for mental health professionals that integrates an inclusive and equitable lens. This knowledge is especially important for practitioners. Given the differential outcomes of groups based on identity, we request that proposals go into detail about how your program promotes EIJ in the understanding and treatment of mental health for individuals and/or communities.
What other programs should the target audience take before or after the proposed program? *
https://concept.paloaltou.edu/course
What type of learning path would they benefit from? How does this program fit into their current learning path?
Provide citations (in APA format) for at least 5 recent (within the last 10 years) references you plan to incorporate or reference in your proposed workshop *
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