SLIDE 1
ORA ANNUAL TRAINING CONFERENCE
“EMERGING ISSUES WITH DISABILITIES” NOVEMBER 8 AND NOVEMBER 9, 2018 EMBASSY SUITES HOTEL, DUBLIN, OHIO
CALL FOR PRESENTATION PROPOSAL FORM
Submission Deadline: Presentation Length: Friday, June 22, 2018 to oraconference@bex.net or fax to: 419-843-2243 90 minutes Preferred Presentation Date: Thursday, November 8 Friday, November 9 Either works Instructions: Please complete each of the sections below and the biographical information Questions? Jay Leeming, Certification Chair at: oraconference @bex.net ~ 419-841-8889 (ORA Office) or Tanya Chiles, Conference Planning Chair at: tanya.chiles@fcbdd.org ~ 614-479-2109 (work)
TITLE OF PRESENTATION: (10 words or less) ABSTRACT/SUMMARY OF PRESENTATION: Please limit to 75 words or less, suitable for publication.
Specifics will help conference attendees select presentations to attend.
PRESENTATION OBJECTIVES: In the space below, please identify at least three program/learning objectives
in behavioral terms. (Example: Objective 1: Identify the problem; Objective 2: Define potential new approach; and Objective 3: Develop strategies to implement).
SLIDE 2 2018 ORA ANNUAL TRAINING CONFERENCE CALL FOR PRESENTATION PROPOSAL FORM PRESENTER BIOGRAPHICAL INFORMATION IF APPROPRIATE, PLEASE COPY THIS PAGE AND COMPLETE FOR EACH PRESENTER
EACH PRESENTER MUST COMPLETE THE FOLLOWING INFORMATION AS REQUIRED FOR APPROVAL. PLEASE PROVIDE YOUR
EDUCATION (FIELDS OF STUDY MUST BE IDENTIFIED, E.G., REHABILITATION COUNSELING) AND BRIEFLY DESCRIBE YOUR EXPERIENCE AND/OR EXPERTISE IN THE AREA OF YOUR PRESENTATION.
THIS PERSON IS THE: LEAD PRESENTER or CO-PRESENTER NAME EMAIL ADDRESS (REQUIRED) HOME WORK MAILING ADDRESS CITY, STATE, ZIP WORK PHONE # HOME CELL # PLEASE LIST DEGREES/CREDENTIALS AND INCLUDE FIELD OF STUDY/EMPHASIS FOR EACH, E.G., M.ED. IN REHAB COUNSELING: CURRENT EMPLOYER ______________________________________________________________________________ POSITION TITLE ____________________________________________ YEARS OF EXPERIENCE IN THE FIELD_________ PLEASE DESCRIBE YOUR EMPLOYMENT EXPERIENCE AND/OR EXPERTISE AS IT RELATES TO YOUR PRESENTATION: ACCOMMODATION REQUEST: PLEASE DESCRIBE ANY ACCOMMODATIONS YOU REQUIRE, E.G., AN INTERPRETER COMMENTS/QUESTIONS: VESTED INTERESTS: HAVING AN INTEREST IN AN ORGANIZATION DOES NOT PREVENT A PRESENTER FROM MAKING A PRESENTATION, BUT THE AUDIENCE
MUST BE INFORMED OF THIS RELATIONSHIP PRIOR TO THE START OF THE ACTIVITY. (IF THE PRESENTER ALREADY HAS SPECIAL FORMS TO IDENTIFY THIS, IT DOES NOT NEED TO BE REPEATED ON THE BIOGRAPHICAL FORM. INCLUDE THE PRESENTER’S COPY OF THE COMPLETED FORMS DECLARING VESTED INTEREST.)
I RECOGNIZE THAT I MUST FOLLOW ALL GUIDELINES AND CRITERIA REGARDING VESTED INTEREST. ANY REAL OR PERCEIVED CONFLICT OF INTEREST FOR A
CONFERENCE PARTICIPANT MUST BE DISCLOSED. FOR THIS PURPOSE A REAL OR APPARENT CONFLICT OF INTEREST IS DEFINED AS HAVING A SIGNIFICANT FINANCIAL INTEREST IN A PRODUCT TO BE DISCUSSED DIRECTLY OR INDIRECTLY DURING THE PRESENTATION, BEING OR HAVING BEEN AN EMPLOYEE OF A COMPANY WITH SUCH FINANCIAL INTEREST AND/OR HAVING HAD SUBSTANTIAL RESEARCH SUPPORT BY AN INDUSTRY TO STUDY THE PRODUCT TO BE DISCUSSED AT THE PRESENTATION. I HAVE NO REAL OR PERCEIVED CONFLICTS OF INTEREST RELATED TO THIS PRESENTATION. I HAVE THE FOLLOWING REAL OR PERCEIVED CONFLICTS OF INTEREST THAT RELATE TO THIS PRESENTATION (PLEASE ATTACH A STATEMENT REGARDING THE CONFLICT OF INTEREST).
PLEASE SUBMIT ALL PAGES VIA EMAIL (PREFERRED) BY FRIDAY, JUNE 22, 2018 TO: 2018 CONFERENCE PLANNING COMMITTEE; ATTN: TANYA OR JAY AT:
ORACONFERENCE@BEX.NET OR FAX TO: (419) 843-2243 FAX (NO COVER SHEET NECESSARY)
SLIDE 3
2018 ORA ANNUAL TRAINING CONFERENCE CALL FOR PRESENTATION PROPOSAL FORM MEETING CERTIFICATION REQUIREMENTS
Your presentation may be submitted to the several national certifying boards: American Board of Vocational Experts (ABVE), Commission for Case Manager Certification (CCM), Certification of Disability Management Specialists Commission (CDMS), and Commission on Rehabilitation Counselor Certification (CRCC). In addition we will be submitting to the Ohio Department of Developmental Disabilities and the Ohio Counselor, Social Worker, Marriage and Family Therapist Board (CSWMFT). CRC ETHICS Ethics must show evidence the CRCC Code of Professional Ethics for Rehabilitation Counselors or, alternatively, the ACA Code of Ethics and Standards of Practice is referenced within the presentation. Examples of such evidence includes: 1) reference to the CRC or ACA Code within the promotional or marketing materials or 2) written explanation from the presenter that states the way and extent to which the CRC or ACA Code will be addressed within the presentation. CDMS ETHICS In order to earn CEs in the ethics focus area, the content of the program must show evidence that the CDMS Code of Professional Conduct is referenced and properly cited within the presentation. Examples of such evidence include, 1) reference to the CDMS Code within the promotional or marketing materials or 2) written explanation from the presenter that states the way and extent to which the CDMS Code will be addressed within the presentation. SOCIAL WORK AND/OR PROFESSIONAL COUNSELING CREDITS Because of the specific guidelines of the CSWMFT Board, we are asking for your assistance in answering the following questions in order to secure continuing education credits for our social workers and counselors. How does your presentation improve core competencies for a social worker? (Core competencies are: Social Work Theory, Social Work Supervision, Social Work methods, Social Work Administration, Human Development & Behavior, Social work Practice for Special Populations, Social Welfare and Policy, Social Work Values & Ethics, and Social Work Research. How does your presentation improve core competencies for a counselor? (Core competencies include: Counseling Theory, Lifestyle/Career Dev., Human Growth and Development, Counseling Techniques, Appraisal Assessment, research/Evaluation, Professional Ethics, Social/Cultural Foundations, Clinical Psychopathological, Personality & Abnormal Behavior, Diagnosis & Treatment of Mental and Emotional Disorders, Evaluation of Mental & Emotional Status, Methods of Intervention & Prevention, Processing, Group Dynamics and Supervision and Administration. How does your program relate to a counselor/social worker performing their job?
