WORKSHOP PROPOSAL FORM
If you would prefer to submit your proposal by mail, please click here.
Name of Presentation:
(Please keep the title of your workshop short, but comprehensive)
Intended audience:     
consumers

family members

providers

general    
50 Word Abstract:
Educational Objectives (list 3):
Outline of Presentation:
Presenter(s) Vitae/Resume:
Presenter(s) Biography (50 Words):
Training Experience Related to Topic:
Experience Related to Topic:
Information on Affiliations:
Contact Information:
 Co-Presenter(s) Information:
Have you presented at the NAMI PA Conference before?
 Yes
 No
If Yes, what year?
If Yes, what topic did you present?
Requested length of time for workshop: 1.25 hrs
I am available to present:
 Friday
 Saturday
 Both Days
Audio-Visual Equipment Required:
Overhead Projector
 LCD Projector
 VCR & Monitor
 Flip Chart & Markers
Any special consideration or renumeration requested for presenters is subject to review &
approval by NAMI Pennsylvania:  
Radisson Penn Harris Hotel, Harrisburg PA

"Today's Family and the Faces of Mental Illness:
A Life's Journey."
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