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Application for Presentations
What is your name?
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Last
What is your degree and license?
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What is the title of the talk you wish to present?
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How many hours do you wish to present?
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1-2 hours
2-3 hours
3-4 hours
4-5 hours
5-6 hours
6-7 hours
What date(s) would work for your presentation?
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Please include an abstract (200-250 words) describing your talk?
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What are the learning objectives for your presentation? You should have about 1-3 learning objectives per presentation hour.
*
What level of therapist is the target audience?
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Intermediate
Advanced
What sexual, gender, or relationship expansive population does your presentation focus on?
*
Gay
Lesbian
Queer
Bisexual
Pansexual
Asexual
Aromantic
Transgender
Gender Nonbinary or Genderqueer
Intersex or DSDs
Open Relationships
Swinging
Polyamory
Bondage
Domination and/or Submission
Sadism and/or Masochism
Role Play
Other
If you chose Other, please list:
What is your expected compensation?
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How many years of experience do you have working with this population?
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What is your phone number?
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What is your email address?
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Please attach your CV.
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Max. file size: 40 MB.
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