CSBD Hope For Healing - Call for Speakers
Submit your innovative proposals and join us in lighting the path to recovery and healing. Thank you for your interest and contributions to this vital conference.
About You
Name
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First Name
Last Name
Business Name (if applicable)
Email
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Confirmation Email
example@example.com
Office Phone Number
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Please enter a valid phone number.
How did you hear about us?
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Why do you want to present at the CSBD - Hope for Healing Conference?
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I understand that if I am selected to speak at the conference, I will need to travel to Nashville, TN and I am available June 24-28th 2025
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Yes
No
Other
What state(s) are you licensed to practice in?
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
To select multiple states, hold down the 'Ctrl' key while selecting
What draws you to clients struggling with addictions and/or partner trauma?
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Describe your experience (including years and modality) with clients struggling with addictions and/or partner trauma?
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What are your own biases about addicts and/or their partners that you are you aware of?
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Do you have a therapist you see regularly?
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No
Yes
What is your personal experience with recovery and healing?
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What do you specialize in?
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CSBD
Partner Trauma
Other
What training/certifications have you completed for CSBD and/or Betrayal Trauma? What institution provided the training/certification?
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What do you believe makes you successful in helping others recover from addiction and/or heal from betrayal trauma?
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Please provide the bio information about you that you would like included in marketing about your presentation
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Please provide a photo of you for marketing your presentation.
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About Your Presentation
Please provide the specific topic you would like to present on.
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Please provide an abstract for your presentation.
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Please provide any basic materials you have previously put together for this topic. The actual presentation is not due until 1 month before the conference
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Please only provide a copy of your presentation, IF you have previously presented on this topic.
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