4th Annual International Conference on
Religion, Conflict, and Peace
~ March 23-25, 2012 ~
Common Bond Institute
Henry Ford Community College, Dearborn, Michigan
Presenter
Proposal Form
for Breakout Session
(PLEASE TYPE
OR PRINT CLEARLY,
AND SUBMIT IN PLAIN TEXT FORMAT TO ALLOW FOR EASY EDITING)
* See Posted Guidelines
for Proposals on our website
1. Name & Credentials ________________________________________________
Address ___________________________________________________________
__________________________________________________________
Phone day ( ) eve
( ) Fax
( )
E-Mail: Web:
2. Workshop/Presentation
Title (for printed program - maximum 12 words):
3. Workshop/Presentation Brief Description
(for printed program - maximum 45 words)*
Please be clear & direct about what you are going to
present:
4. RELEVANCE to the RCP Conference topic and mission: Please indicate how your presentation is relevant to the topic: "Religion, Conflict, and Peace: Walking The Talk To Compassion and Harmony," as well as how it advances public dialogue, awareness, and sensitivity to these issues (use additional paper if needed):
5. Session Format (Breakout
sessions are 60 - 75 minutes in length). *
Note: The RCP Conference is an interactive, dialogue
oriented conference. All sessions are asked to include substantial
dialogue and interaction. Lectures only are discouraged
Check all that apply:
[ ] Skills
[ ] Experiential [ ] Roundtable
[ ] Demonstration [ ] Discussion
[ ] Lecture [ ] Multimedia
6. Personal/Professional Biographical
Statement (for printed program - max. 75 words).
Please include credentials/degrees, occupation, and any position. Also
include (separately) a current brief resume.
Co-presenters: If you have co-presenters please also include their
name and information.
7. Will this presentation be structured
to meet Continung Education Credit (CEC) requirements?:
[ ] Yes [ ] No
8. Any Equipment Needed (equipment is limited): __________________________________
9. PLEASE NOTE: The RCP Conference is a DIALOGUE
PROCESS meant to build as a learning community over the 3 days of the program
toward strategies and collaboration. As a result we strongly encourage presenters
to be with us for all or most of the conference. Will you be participating
throughout the conference?
__________
11. TAPING: Conference sponsors periodically tape or
photograph presentations for professional use. Please indicate if this is
not agreeable (if not indicated it is assumed to be agreeable): [ ] I Agree
[ ] I do not Agree
_________________________ ________
Signature
Date
12. A collection of ARTICLES submitted by conference
presenters relevant to their presentations is being generated for publication
in a virtual journal on our web site. Submissions in advance are requested.
Guidelines are provided on request. Would you wish to contribute such an article?
[ ] Yes [ ] No
13. ADDITIONAL REQUESTED INFORMATION:
[ ] Full Presentation Description: (approx. 200 words on separate sheet,
with description of qualifications and familiarity
with the subject)
[ ] A Current Brief Resume for all presenters and co-presenters
[ ] 2 Professional References (names, position, relationship, & contact
info.).
E-mail is preferred for references outside
the US (f unavailable, fax number).
For references within the US include
E-mail, phone, and fax.
[ ] When We Can Reach You (best days and times):
Proposal Submission
Please submit proposals by E-mail (preferred), fax, or land mail to:
Common Bond Institute
Details at Website: www.cbiworld.org/Pages/Conferences_RCP.htm
Attn: Steve Olweean, Director, Conference Coordinator
12170 S. Pine Ayr Drive, Climax, MI 49034 USA
Ph/Fax: 269-665-9393 Email: SOlweean@aol.com Website: www.cbiworld.org
(This form can be copied & pasted into an Email to complete & submit)
* See Posted Guidelines for Dialogue on our website at:
www.cbiworld.org/Pages/Conferences_RCP_Schedule-Overview10.htm
Submissions Requested by: February 29, 2012
(*please submit proposal in plain text form to allows for easy editing)
(Presenters receive a 50% discount off program fee)
2012 RCP Conference Information
Main RCP Conference Page
