Topic/Speaker Idea Submission Form
Our Schools can only be as good as our topics covered and the presenters speaking on the topics. If you have an idea for a cutting-edge, state-of-the-art, and/or interesting topic that you feel others would benefit from, please let us know by filling out this form. Additionally, if you know of a great speaker/presenter that you'd like to see at an NCFADS School, please share that in this form.
About You
Your Name
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First Name
Last Name
Suffix
Your Email
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example@example.com
What are your professional credentials? Please list all.
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i.e. CDAC, LCAS, LCSW, CPS, CCS, etc.
Your Employer
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example@example.com
Your Job Title
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example@example.com
How many years have you been in the field?
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Less than a year
1-3 years
4-6 years
7-10 years
10-15 years
More than 10 years
Other
How many NCFADS Schools have you attended?
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None
1-2 Schools
3-5 Schools
6-10 Schools
11-15 Schools
More than 15 Schools
Other
Your Profession Classification (please select all that apply)
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Behavioral Health Management/EAP
Clergy & Pastoral Services
Educational Institution/Agency
Health Department
Law Enforcement, Courts, Probation, etc.
Military
Primary Health Care Agency
Private Mental Health Agency
Private Substance Abuse Agency
Public Mental Health Agency
Public Substance Abuse Agency
Social Services
Student
Vocational Rehabilitation
Other
What credit types do you need to fulfill your continuing education requirements? Please select all.
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NC Addiction Specialist Professional Practice Board (SAC/NCASPPB) Credit
National Board for Certified Counselors (NBCC) Credit
Public School Personnel Renewal (PSPR) Credit
Commission on Rehabilitation Counselor Certification (CRCC) Credit
Contact Hours (Social Workers, Marriage/Family Therapists, Nurses, etc.)
Continuing Medical Education (CME) Credits
Continuing Legal Education (CLE) Credits
Other
Let Us Know What You'd Like to See!
There are fields for 5 different topics, but if you have more recommendations, please reach out to NCFADS Executive Director, Sarah Cothren, at executivedirector@ncfads.org. Feel free to mention any type of topic, whether it has to do with a modality of therapy, new research, or anything else!
Topic 1
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i.e. Ethics & Technology
Please elaborate on topic 1.
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i.e. Ethics as it relates to AI and growing technology.
Topic 2
Please elaborate on topic 2.
Topic 3
Please elaborate on topic 3.
Topic 4
Please elaborate on topic 4.
Topic 5
Please elaborate on topic 5.
Why do you think it is important that you and your peers learn more about these topics?
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i.e. For ethics & technology, the mental health profession is devoted to maintaining ethical standards, so how do we navigate utilizing AI and other technology while also following best practices?
Do you have the knowledge, skills, and experience required to present on these topics? If so, which ones?
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Do you have any speaker/presenter recommendations for these topics?
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If you don't have any recommendations, type "N/A"
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