Workshop Proposal Form

Continuing Education Workshop Proposal
Thanks for Working with Us.

Thank you for submitting your workshop proposal with Theratel Training Institute (TTI). We are excited for the opportunity to work with you. We appreciate you working with us to ensure life long learning for the social work community.

In submitting your workshop proposal you understand that TTI only issues social work CE credits at this time and agree that Theratel Training Institute will be responsible for all logistics of the workshop which include: marketing, pricing, registration, setting up the webinar, etc.

Presenters must have an earned a master’s or doctorate degree in a social science or related field, and have at least 2 years post-graduate work experience.

What do you get for working with us, You will receive a competitive rate for presenting. As a bonus, we offer four (4) social work CE credits for the preparation of your workshop. We require that you provide us with a copy of your presentation slides to have on file for NYSED. Good news, you get paid and can earn social work CE credits for sharing your knowledge with other social work professionals.

What happens next: Complete the workshop proposal and submit all documents. We will review to ensure that it is accordance with NYS Education Department requirements. You indicate the date and time for your workshop and we will begin the process setup for the workshop. You will be given a link to Calendly link to ensure there are no conflicts.

Reschedule or Cancellations: If for some reason you or TTI needs to reschedule or cancel a workshop, it must be done as soon as possible or within 1 week of the workshop date.

If you have any questions you can contact Amandia Speakes at 860-477-3723
Name

First NameLast Name
Email
example@example.com
Phone Number
Workshop Title
A working title for your workshop
Proposed Workshop Date/Time

MonthDayYear
Date
Hour MinutesAM/PM Option
Number of Contact Hours
(1) one continuing education hours = 50 minutes
Workshop Format

One timeMultiple sessions
Presentation Type

OnlineIn-PersonSelf-study (recorded presentation or course material with Post-test questions)Hybrid (combination of the above)
Areas of Practice (Check which best apply)

AddictionsTherapeutic interventionsCouples/RelationshipsEthicsGrief & LossMilitary/VeteransSchool Social WorkPrivate Practice/ClinicalSupervisionAgingSocial JusticeTraumaMental HealthHealth & HealthcareSocial work & spiritualityFamilies & childrenOther
The workshop must contribute to professional practice and have at least one NYSED approved topic areas identified below as its focus. Please check all that closely apply.

Theories & concepts of human behavior in the social environmentSocial work practice, knowledge, and skillsSocial work research, programs or practice evaluationsSocial work management, administration or social policySocial work ethicsClinical interventions, evidence-based models & principles of clinical social work, psychotherapy, & clinical social work diagnosisClient communications and recordkeepingAdministrative supervision of LMSW and clinical supervision of LCSW practicePedagogical metholodogies or other topics that contribute to the professional practice of LMSW or LCSW
Course Description
Provide a brief description (5-10 sentences) of your course content.
Please provide 3-5 learning objectives describing what participants will be able to do upon completion of the CE workshop. Click link for ideas on writing learning objectives, https://tips.uark.edu/using-blooms-taxonomy/
Self-Study Option ONLY: Submit 5 multiple-choice single answer post-test questions, along with a short reference list (2-3 references) for participants to access.
Presenters

Each presenter must provide name, credentials and cv/resume along with a short bio (5 to 10 sentences) and photo. Bio & photo will be used for marketing purposes. The cv/resume is documentation required by NYS Education Department.
Presenter 1: Name & Credentials
Presenter #1

Cancelof
Presenter 2: Name & Credentials
Presenter #2

Cancelof
Additional Notes for Theratel Training Institute

Provide any additional information that you would like for us to know.
Notes
any additional notes comments for the TTI Team
By clicking SUBMIT, I am stating that I understand and agree with all the information I have read and written as part of my workshop proposal submission.
Please verify that you are human*
Date Submitted

MonthDayYear
Date
Hour MinutesAM/PM Option
Should be Empty:

Continuing Education Workshop Proposal

Presenters

Additional Notes for Theratel Training Institute