Proposals for MHM

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MHM Proposal Form

• November 21-24, 2019

  Angola, Indiana

  The Mental Health and Missions program coordinators are now accepting presentation proposals.

• Proposed Session Title (12 words or less):*
• Running Head Title (3 words or less):*
• Summary (60 words or less)*
• As a result of this session, participants will be able to #1*
• As a result of this session, participants will be able to #2*
• As a result of this session, participants will be able to #3*
• If you wish this session to be submitted for NBCC Continuing Education Hours, please submit a CV or resume for each presenter.

• 1st Presenter

• Presenter Name*
• Organization*
• Current Position Title*
• Please include the following information for each Degree: Degree, Major or Field of Study, Institution, Year
• Master's
  Please include: Degree, Major or Field of Study, Institution, Year
• Doctorate
  Please include: Degree, Major or Field of Study, Institution, Year
• Other
• Training Relevant to Topic Presented/Authored*
• Professional Licenses or Certifications
• Phone*
• Email*
• Short Bio*

• 2nd Presenter

• Presenter Name
• Organization
• Current Position Title
• Please include the following information for each Degree: Degree, Major or Field of Study, Institution, Year
• Master's
  Please include: Degree, Major or Field of Study, Institution, Year
• Doctorate
  Please include: Degree, Major or Field of Study, Institution, Year
• Other
• Training Relevant to Topic Presented/Authored
• Professional Licenses or Certifications
• Phone
• Email
• Short Bio
• If there are more than two presenters, please provide the information for each person below.
• Untitled
• Untitled
• Untitled