Oregon Mediation Association
  



PO Box 40041
Portland, OR 97240
Phone: 503-872-9775

Workshop Proposal

"Theme"

November 4 - 5, 2011 - Ambridge Event Center, Portland

DUE DATE: May 10, 2011

 

Name
first last
Title
Company
Address
street line 1
street line 2
, city, state/prov zip
Email
Phone
Fax
Session Scheduling: Indicate your scheduling preference:
Friday
Saturday
No Preference
  (Required)
Presenter Names & Contact Information (Please include full name, title, address, email, telephone and fax for each presenter. (R)
Session Coordinator: if there is more than one presenter, designate the Session Coordinator. (R)
Briefly describe your experience in presenting this or other related workshops, trainings, etc. (R)
Session Length - Specify your preference for the length of your session. Sessions that are 180 minutes long will be held in two parts, usually back to back. Sometimes the lunch break separates the two parts of a session.
90 Minutes
180 Minutes
No preference
  (R)
Workshop Title - Provided a Recommended Title (R)
Short Description for the Brochure - Provide a 50 word description of your session. If accepted, your title and description will be used in conference materials. We may edit either the title or the description. (R)
Session Objectives and Detailed Description - List session objectives and provide a detailed description of your session. (R)
Presentation Style - Please describe with specificity your teaching style and the approximate amount of time you will dedicate to each style. Example: I will spend 10-15% of my time giving information, using overheads. I will spend 25-40% of my time drawing out information from the attendees around central questions and issues under discussion. My co-trainer will lead an interactive role play exercise for 35-40% of the time. We will spend another 10-15% of our time for questions and answers at the end. (R)
Audio Visual Equipment - If you are requesting audio-visual equipment other than a screen, projector/VCR and Easel/Chartpak stand, indicate the equipment you are requesting. If you think you will need WIFI access, please indicate that. Presenters are responsible for bringing their own laptops.
VCR
Easel/Chartpak/Markers
InFocus PowerPoint Projector & Screen
WIFI
  (R)
Experience Level of Participants - Specify the level of experience that is most appropriate for participants at your session.
General - All skill levels
Advanced - more than 5 years of experience
  (R)
Area of Focus - Which categories best apply to your session? Check all that apply.
Education
Community
Public Policy
Cross Cultural
Consumer
Elder Mediation
Family / Divorce
Legal
Restorative Justice
Victim-Offender
Workplace
none of the Above - Explain in the Comments below.
  (R)
Additional Comments

Note: Please do not include any URLs in form.


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