NAMI Illinois 2013 Annual Conference
October 18-20, 2013
CALL FOR PROPOSALS
NAMI Illinois encourages submission of proposals for workshops for its 2013 Annual Conference scheduled for October 18-20, 2013 at the Westin Itasca near Schaumburg, Illinois. Workshop presentation proposals are sought on the many issues of importance to people living with mental illnesses, family members, mental health professionals, and advocates. Topics may include emerging practices, research, forensic issues, housing, employment, outreach to diverse populations, consumer-run programs, fundraising, organizational development, and others.
Competition for the limited number of presentation slots is keen.
The information we receive on this form is the ONLY information we will receive about your proposal. Please be clear and concise and do your best to ensure that members of the Conference Committee will understand why this presentation is important, what information you intend to convey, and what you hope to accomplish. All proposals will be reviewed by members of the committee. Before submitting your proposal, please review the information below carefully:
· All workshop presenters are responsible for their own hotel and travel arrangements and expenses.
· All workshop presenters must register for the convention if they wish to attend sessions and receive meals. Workshop presenters will receive a discounted registration fee.
· Workshops are 90 minutes in length.
· This form must be COMPLETE! Incomplete forms will not be reviewed. Please submit a complete form only once.
· A single page of additional information that may be helpful in the review process may be attached to your proposal. Please feel free to attach additional information such as brochures, booklets, etc.
· You are strongly encouraged to prepare handouts for your workshop. Our attendees love to receive handouts of your presentations.
· We would love to have your permission to place your conference presentation PowerPoint on our website after the conference is concluded.
YOU MAY RETAIN THIS SHEET FOR YOUR INFORMATION.
218 W. Lawrence • Springfield, IL • 62704
(217) 522-1403 • (800) 346-4572
218 W. Lawrence • Springfield, IL • 62704
(217) 522-1403 • (800) 346-4572
PROPOSALS MUST BE RECEIVED BY NAMI ILLINOIS by June 21, 2013
Decisions will be announced by July 8, 2013
Please type or print clearly and fill out completely!
Suggested Workshop Title:The intended audience for this presentation is primarily:
1consumers / 1justice professionals / 1family members
1treatment professionals / 1others:
Compensation requested for presenter:
In-kind contribution (no fee charged, speaker recognized in conference program booklet) / 1YES 1NO
If no, your fee: $ / Estimated additional expenses: $
Why should this presentation be made at the NAMI Illinois Conference?
what is the primary message you want to convey?
Please list three learning objectives for this presentation:
1.
2.
3.
In the last two years, this presentation has been made to how many:
_____ Local NAMI Affiliates / _____ Consumer Groups
_____ NAMI State Organizations / _____ Professional Groups
If this presentation was presented at a NAMI national convention, please list the year/s:
Please provide a description of your presentation. Descriptions are limited to 50 words. If your proposal is accepted for a workshop presentation, this description will be included in the convention program. Please print or type and be clear and concise.
If your presentation is selected, an outline, PowerPoint, or copy of handouts must be submitted by September 1, 2013 for credentialing purposes. Please indicate your permission to post your presentation on the NAMI website for two weeks after the conference. 1yes 1no
Please provide complete information for each speaker in your presentation. A brief (50 word) biographical sketch (if selected this will be used in the program book) must be attached for each speaker. Complete contact information must be provided for each speaker listed.
Speaker #1
Name: / Speaker #2
Name:
Prof. Title: / Prof. Title:
Affiliation: / Affiliation:
Street/PO Box: / Street/PO Box:
City, State, Zip: / City, State, Zip:
Daytime Phone: / Daytime Phone:
Cell Phone: / Cell Phone:
E-mail: / E-mail:
Speaker #3
Name: / Speaker #4
Name:
Prof. Title: / Prof. Title:
Affiliation: / Affiliation:
Street/PO Box: / Street/PO Box:
City, State, Zip: / City, State, Zip:
Daytime Phone: / Daytime Phone:
Cell Phone: / Cell Phone:
E-mail: / E-mail:
Moderator
Name: /
Prof. Title:
Affiliation:
Street/PO Box:
City, State, Zip:
Daytime Phone:
Cell Phone:
E-mail:
Equipment: please list ALL equipment you will be bringing and the equipment you need NAMI to provide.
Equipment You Are Bringing: / Equipment Needs:
1Flash Drive with PowerPoint Presentation
(Req’d if NOT bringing personal computer) / 1Computer
1DVD Player
1Computer w/DVD player / 1Projector
1Projector / 1Audio
1Audio / 1Microphone 1Stand or 1Lavaliere
1Microphone / 1Other:
1Other:
THIS SECTION MUST BE COMPLETED
As the submitter of this proposal, I understand that I will be the primary contact for NAMI Illinois. It is my responsibility to relay all information received from NAMI Illinois to all participants in this presentation in a timely manner. I have read, understand, and agree to abide by these guidelines.
Name:
Title:
Affiliation:
Street/PO Box:
City, State, Zip:
Daytime Phone:
Cell Phone:
E-Mail:
Signature:
IMPORTANT NOTE: The workshop submitter’s name will NOT appear in the convention program as a presenter unless listed as a speaker or moderator.
SUBMISSION CHECKLIST
1 / Completed three-page Call For Proposal (CFP)
1 / Biographies for ALL presenters
1 / Abstract if not included on CFP
1 / Additional Information
1 / Other:
218 W. Lawrence • Springfield, IL • 62704
(217) 522-1403 • (800) 346-4572