WORKSHOP PROPOSALS FORM Step 1 of 3 33% CALL FOR WORKSHOP PROPOSALS Western Massachusetts EMDRIA Annual Conference March 28, 2020WORKSHOP TITLE*PRESENTER INFORMATION:* First Last PRESENTER ADDRESS* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Phone*Email* Degrees, professional license numbers, expiration dates, and states where they are validCurrent Job Description*One sentence, please SHORT WORKSHOP DESCRIPTION*50 words maximumWORKSHOP DESCRIPTION250 words describing the session and what you will coverIdentify the EMDR learning level of the presentation*General, Intermediate, Advanced or All-LevelsHas your proposal been approved for EMDRIA credits previously? If so, please give approximate dates.*BULLET POINTS*List 5-7 that summarizes the main points of your workshopAGENDA Drop files here or Accepted file types: jpg, png, pdf. Attach a detailed description of what you will do during the time allotted. For example, please indicate time for all segments, including breaks and meals. Example: 9:00-10:30 Comparisons of co-morbid diagnosis Treatment options that work 10:30-10:45 Break 10:45-12:00 Chemical Dependency Eating Disorders Self-Injurious Behaviors ....(etc.) LEARNING OBJECTIVESList 3 learning objectives. Format as what participants will be able TO DO after the workshop, not what the presenter intends to COVER during the session.How does your presentation address or consider issues related to culture, diversity, equity, and inclusion?RESUMES / CURRICULUM VITAS Drop files here or Accepted file types: pdf. Please add any pertinent experience that qualifies the presenter on the topic to be presented. PDFs onlyBIBLIOGRAPHY*Provide a minimum of 5 resources. (current: culled from within the last five years) used to research the topic and/or for further reading by the attendee. Please do not include more than one source authored by the presenter. Please submit in correct bibliographic format.DESCRIBE THE METHODS YOU WILL USE TO CONVEY THE CONTENT Select All MEDIA POWERPOINT HANDOUTS SMALL GROUP Q&A DIDACTIC LECTURE VIDEO ROLE PLAY LIVE DEMONSTRATION Please pick all applicable from the followingFinal proposals are due no later than November 1, 2019. If you have questions about your proposal, please be sure to submit earlier. You will be notified of the board’s determination by December 13, 2019.