Vermont Suicide Prevention Symposium
Call for Proposals
Find out more about this call for presenter proposals here.
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Name
*
First
Last
Credentials
*
Preferred Pronouns
*
Profile Photo
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5x7 Portrait
Short Bio
*
500 words max please.
Email
*
Email
Confirm Email
Phone
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For emergency use only
Address
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Address Line 1
Address Line 2
City
Alabama
Alaska
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District of Columbia
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State
Zip Code
Social Media
LinkedIn
Facebook
Please add the best Facebook link to reach you
Twitter
Please add the best Twitter link to reach you
Any additional social media, or websites
Organization Details
Organization Name
Your Title
Presentation Details
Presentation Type
*
Keynote Presentation
Workshop Facilitator
Please select the type of presentation you you plan to facilitate. You may choose more than one.
Resume or Curriculum Vitae
*
Click or drag files to this area to upload.
You can upload up to 10 files.
Please Upload your Resume or Curriculum Vitae.
Proposed Presentation Title
*
Goal: 60 characters is an ideal length
Presentation Summary
*
[Goal: 160 characters is an ideal length] This is used for marketing.
Description of the Presentation
*
(no more than 400 words please)
Learning Objectives
*
Learning objectives provide details for CEU
Target Audience
*
Youth Focus- Education, Afterschool/3rd Space, Youth Voice
Health Care- Hospital, Primary Care, Mental Health, Private Practitioner
Social Service Organizations
Peer Support Programs/PWLE
Public Health/Communities at Large
Presentation Supporting Documents
Click or drag files to this area to upload.
You can upload up to 5 files.
Provide any suppoting documents (outlines, PPT, etc.)
Materials Submission
*
I can commit to getting all relevant materials, pdf of slide deck, handouts, etc by September 1, 2023.
Materials are provided to the Zoom producer for emergencies.
Recording Permission
*
Yes
No
I give permission to have my presentation recorded.
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