3rd Annual International Conference on
"Engaging The Other
"
The Power of Compassion

September 4-7, 2008  ~  San Francisco, Calif


Presenter Proposal Form
( PLEASE TYPE OR PRINT CLEARLY)

1. Presenter & Credentials _______________________________________________________

Address ______________________________________________________________________ 

_______________________________________________________________________________

Phone day ( ___ ) ________________________  evening ( ___ ) _____________________________

Fax ( ___ ) _______________________  E-mail _______________________________________

Website _______________________________________________________________

 2. Presentation/Workshop Title (for printed program - maximum 12 words):  

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

3. Presentation Brief Description (for printed program - maximum 45 words).
    Please be clear & direct about what you are going to present:  

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

______________________________________________________________________________

_______________________________________________________________________________

4. Personal Statement/Professional Biography (for printed program - max. 45 words).
Please include credentials/degrees and positions.  
______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

_________________________________________________________

Co-presenters:  If you have co-presenters, please copy this form; each presenter will
need to complete personal information. A brief vita for each presenter should be included.

_________________________________________________________

5. Instructional Format  (All sessions are encouraged to include interaction). Check all that apply:
    [  ] Experiential      [  ] Movement       [  ] Demonstration      [  ] Multimedia
    [  ] Discussion       [  ] Roundtable      [  ] Lecture 

6. Will this presentation be structured to meet Continung Education Credits (CEC) requirements?:
    [  ] Yes  [  ] No 

7. Any Equipment Needed:   ____________________________________________________

8. Checklist of Requested Information and References:
    [  ] Title of Presentation
    [  ] Brief Description of Presentation   (use separate sheet if necessary)
    [  ] Personal Statement/Biographical   (use separate sheet if necessary)
    [  ] Full Description of Presentation: (200 words or less - on a separate sheet,
        including a statement describing your qualifications & familiarity with the subject)
    [  ] A Current Brief Resume and/or curriculum vita for all presenters and
          co-presenters
    [  ] Two Professional References (names, position, and contact information). E-mail
         addresses are preferred (or if unavailable, fax numbers) for references outside
         the US. For references within the US include e-mail, phone, and fax.
    [  ] When We Can Reach You (best days & times):________________________    

9. If you are a licensed practitioner, has your professional license or insurance ever been on probation, suspended, or revoked?
      [  ] Yes    [  ] No   If yes, please explain on a separate sheet.

10. Taping: Conference sponsors request the right to tape conference presentations for professional use.
      [  ]   I Agree to let my Presentation be Taped or Photographed.

       ________________________________         _____________________
            Signature                                                                     Date

11. A collection of Articles submitted by conference presenters relevant to their presentations at this conference is being generated for
publication in a virtual journal on our web site.  Would you wish to contribute such an article?  
     [   ] Yes   [  ] No

Proposal Submission

Please submit proposals by E-mail (preferred), fax, or land mail to:
Common Bond Institute using the contact information listed below.

SUBMISSIONS REQUESTED BY:  March 15, 2008
( Early submission is recommended as we expect the program to fill up early )

2008 ETO Conference Information
      
Main ETO Conference Page

Previous 2007 ETO Information:
  
Previous 2007 ETO Program Sessions
  
Previois 2007 list of Presenters

Previous 2006 ETO Information:
  
Previous 2006 ETO Program Sessions
  
Previois 2006 list of Presenters

Common Bond Institute
Steve Olweean, Director, SOlweean@aol.com
12170  S. Pine Ayr Drive •
Climax, Michigan49034 USA
1.269.665.9393 (phone and fax
)
Website: http://www.cbiworld.org
CONTACT US!