Workshop Proposal Form 1Workshop Information2Presenters Information3Confirm4 Workshop InformationCategory* Ethics Financial Improving the Legal System Law and Legal Proceedings Office Management Personal Development and Mental Health Professional Development Time Requirement*Please confirm your presentation can be completed within 90 minutes. Yes No Presentation Format*Please select if your session must be presented in-person only, virtual only, or it can be be presented in either format. In-Person Only Virtual Only Virtual or In-Person Workshop Title*(title must be 100 characters or less including spaces) Short Description of Workshop*(50 words maximum, may be used in brochure) Detailed Description for Proposal Review Committee*(You may attach outline or session materials, below) Learning Objectives and Target Audience* Structure of Presentation*Please describe how you intend to present your workshop and whether you plan to use demonstrations and/or experiential exercises that require breaking attendees out in small groups for discussions. Presenter InformationName*(Main Presenter's Name) First Last Email*(Main Presenter's Email) Phone(Main Presenter's Phone)Address(Main Presenter's Address) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Main Presenter's Credentials and Brief Bio*(please attach separate sheet if needed) Include Attachments? Yes No Attachments Drop files here or Select files Max. file size: 256 MB. Have you presented at a CPW event before* Yes No Date and Topic References*(Please provide two references familiar with your work as a presenter. Attach separate files if needed)Include Attachments? Yes No Attachments Drop files here or Select files Max. file size: 256 MB. Resumes(Please attach a hard copy of the main presenter's resume. Please make sure there are page numbers and the name of the presenter in the footer. No web links please!) Drop files here or Select files Max. file size: 256 MB. Co-Presenter(s) InformationPlease list information for all co-presenters below. If you do not have any co-presenters, you can skip to the next page. First Co-Presenter Name(Co-Presenter's Name) First Last Email(Co-presenter's Email) Phone(Co-Presenter's Phone)Address(Co-Presenter's Address) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Has this co-presenter presented at a CPW event before? Yes No Date and Topic Second Co-Presenter Name(Co-Presenter's Name) First Last Email(Co-presenter's Email) Phone(Co-Presenter's Phone)Address(Co-Presenter's Address) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Has this co-presenter presented at a CPW event before? Yes No Date and Topic Third Co-Presenter Name(Co-Presenter's Name) First Last Email(Co-presenter's Email) Phone(Co-Presenter's Phone)Address(Co-Presenter's Address) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Has this co-presenter presented at a CPW event before? Yes No Date and Topic Fourth Co-Presenter Name(Co-Presenter's Name) First Last Email(Co-presenter's Email) Phone(Co-Presenter's Phone)Address(Co-Presenter's Address) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Has this co-presenter presented at a CPW event before? Yes No Date and Topic Co-Presenters Credentials and Brief Bios(Please include credentials and brief bios for all co-presenters please attach separate sheet if needed) Include Attachments? Yes No Attachments Drop files here or Select files Max. file size: 256 MB. References(Please provide two references familiar with each co-presenter's work as a presenter. Attach separate files if needed. )Include Attachments? Yes No Attachments Drop files here or Select files Max. file size: 256 MB. Resumes(Please attach a hard copy of each copresenter's resume. Please make sure there are page numbers and the name of the co-presenter in the footer. No web links please!) Drop files here or Select files Max. file size: 256 MB. ConfirmationExtra Attachments(Please attach any extra files that you think are relevant to the workshop. Example: Powerpoint presentation) Drop files here or Select files Max. file size: 256 MB. Please confirm your understanding of the following:* This proposal submission indicates your availability to present virtually. Item 2 Confirmation* You understand the need to provide your own computer and internet connection to present virtually. Item 4 Confirmation All presenters are expected to register for the conference and will receive discounted registration fees. Speakers who have not confirmed or registered by February 5th, 2022 may be replaced by an alternate speaker. Please Note: presenters are expected to register for the conference and are eligible for discounted conference registration fees. CAPTCHA
