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2009 Humanistic Psychotherapies Conference
Humanistic Psychology, Psychotherapy and Action: Transformation in a Time of Change
October 8-11, 2009
University of the Rockies | Colorado Springs, CO


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2009 Humanistic Psychotherapies Conference

Presenter Information

Please complete the following information and hit submit when completed.
Submission Deadline is June 1, 2009

*** All fields that are marked with * are required.

* Title:

* Primary Presenter Name:

* Address:

* City:

* State:

* Zip:

* Phone:

* Email:

* Proposed Length of Presentation (Choose One)

One Hour Two Hours Three Hours

* Course Description and Overview (1,000 word maximum)

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* Learning Objectives

Objectives must be relevant to clinical practice and measurable.
Please refer to attached pdf for proposal guidelines

* Content Outline
Please provide an overview of your content in outline format

* Instructional Methods Used

Limitations
Please describe any possible application or research limitations in what you will
be showing

* References
Please provide 2-3 references from professional literature supporting the
validity of what you are presenting

* Brief Biographies of Presenters

* Copyright Notice: Please check on of the following boxes:

No copyrighted information will be used for this presentation.
I will be using copyrighted information and agree to submit written
permission to use this material to Division 32 prior to the presentation.

* Conflict of Interest:

I have no conflict of interest
I do have a conflict of interest.
If yes, please explain:

Please submit up to 5 vitae for each of the presenters.
Important – Please Note: Vitae must be uploaded before you can
submit this form.


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