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Call for Presenters - Fond Du Lac Tribal and Community College

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32 nd Annual<br />

Minnesota American Indian Institute on Alcohol <strong>and</strong> Drug Studies<br />

July 29 - August 2, 2013<br />

<strong>Fond</strong> du <strong>Lac</strong> <strong>Tribal</strong> <strong>and</strong> <strong>Community</strong> <strong>College</strong><br />

<strong>Call</strong> <strong>for</strong> <strong>Presenters</strong><br />

The 2013 Minnesota American Indian Institute on Alcohol <strong>and</strong> Drug Studies (MAIIADS) Planning Committee is<br />

requesting proposals <strong>for</strong> presentations. The conference theme is The Many Faces of Addiction. The presentation<br />

proposal should be postmarked no later than July 18 th , 2013. Selected presenters will be notified no later than July 22 nd ,<br />

2013. The MAIIADS Planning Committee screens proposals <strong>for</strong> determination of appropriate topic, time frame, <strong>and</strong><br />

compatibility with the conference theme. Workshops with elders as presenters will be given priority.<br />

The workshop presentations will be at the following times:<br />

Tuesday, July 30 th 1:00 – 2:30 p.m. <strong>and</strong> 2:45 – 4:00 p.m.<br />

Wednesday, July 31 st 1:00 – 2:30 p.m. <strong>and</strong> 2:45 – 4:00 p.m.<br />

Thursday, August 1 st 1:00 – 2:30 p.m <strong>and</strong> 2:45 – 4:00 p.m.<br />

Suggested Workshop Topics<br />

We are calling <strong>for</strong> workshop topics that support the theme of this conference. Suggested topics <strong>for</strong> workshops include<br />

treatment, prevention, <strong>and</strong> issues related to:<br />

Alcohol<br />

Inhalants<br />

Marijuana<br />

Tobacco<br />

Oxycotin<br />

Grief<br />

Co-occurring disorders<br />

Historical Trauma<br />

Special emphasis is on health in recovery, culturally appropriate treatment models, self care <strong>for</strong> counselors, <strong>and</strong> the role of<br />

the 12 Core Functions in promoting holistic recovery.<br />

Other workshop ideas include:<br />

Therapy options<br />

Communications<br />

Culturally specific programs<br />

Mental <strong>and</strong> physical health issues <strong>and</strong> how they relate to chemical dependency<br />

12 Core Functions<br />

Program evaluation<br />

Working with different populations, including youth, women, <strong>and</strong> elders.<br />

All workshops must be focused on chemical health <strong>and</strong> the American Indian population. We thank you in advance <strong>for</strong><br />

sharing your knowledge, skills, <strong>and</strong> passion with our participants.<br />

Presenter Discounts <strong>and</strong> Benefits:<br />

MAIIADS offers a small stipend <strong>for</strong> workshop presentations, mileage reimbursement (.565 per mile), <strong>and</strong> lodging costs<br />

<strong>for</strong> one night <strong>for</strong> one presenter, if required. ***Please note*** MAIIADS is unable to offer additional stipends <strong>and</strong> travel<br />

reimbursements if your presentation involves more than one presenter. You must register <strong>and</strong> pay <strong>for</strong> the conference<br />

separately if you plan to attend.<br />

Though you may choose to be present at the conference only during your workshop <strong>and</strong> to not register, you are strongly<br />

encouraged to register <strong>for</strong> the entire conference. We believe that you will find full participation in the conference,<br />

including participating in workshops yourself, to be of tremendous value to you professionally in exposing you to new<br />

ideas <strong>and</strong> allowing you to network <strong>and</strong> socialize with a wide variety of chemical health counselors. You must register in<br />

advance to present. FDLTCC is fully equipped to h<strong>and</strong>le most audio/visual requests. Your prompt attention to this<br />

<strong>Call</strong> <strong>for</strong> <strong>Presenters</strong> will assist us in planning a better conference.


32 nd Annual<br />

Minnesota American Indian Institute on Alcohol <strong>and</strong> Drug Studies<br />

July 29 - August 2, 2013<br />

<strong>Fond</strong> du <strong>Lac</strong> <strong>Tribal</strong> <strong>and</strong> <strong>Community</strong> <strong>College</strong><br />

Presentation In<strong>for</strong>mation:<br />

Presentation Proposal Form<br />

Title of presentation (No more than 7 words) _________________________________________________________<br />

Workshop <strong>for</strong>mat (circle one): Lecture Discussion H<strong>and</strong>s-on Active Other? _________________<br />

Workshop duration (circle one): SINGLE session~1.25-1.5 hours DOUBLE session~2.75 hours (limited avail)<br />

Do you need to limit the number of participants? YES NO<br />

Will you have h<strong>and</strong>outs or other materials <strong>for</strong> participants? YES NO<br />

Do you need to charge a materials fee? NO YES Amount: $______________<br />

Do you have any special space needs <strong>for</strong> your workshop? (For example: open space, talking circle set up, room made<br />

dark <strong>for</strong> slides, electricity, running water, etc.) _________________________________________________________<br />

_______________________________________________________________________________________________<br />

_______________________________________________________________________________________________<br />

Audio/Visual Needs (indicate all that apply):<br />

Computer/PowerPoint Projector (Presentations must be sent via email or saved to CD ROM)<br />

TV/VCR<br />

Whiteboard<br />

Large tablet <strong>and</strong> easel<br />

Overhead projector (<strong>for</strong> use with transparencies)<br />

Other (please specify) __________________________________________________________<br />

Preferred date of presentation<br />

1 st Choice Date ______________________________ Time _______________________________<br />

2 nd Choice Date ______________________________ Time _______________________________<br />

3 rd Choice Date ______________________________ Time _______________________________<br />

Presenter In<strong>for</strong>mation:<br />

How many people will present this session? ___________________________________________________________<br />

Provide contact/background in<strong>for</strong>mation <strong>for</strong> each presenter. Please list the Main Contact/Lead Presenter first,<br />

followed by in<strong>for</strong>mation on each co-presenter.<br />

Instructor name (as you would like printed in program) ___________________________________________<br />

Professional Title: ________________________________________________________________________<br />

Work Agency: ___________________________________________________________________________<br />

Address: ________________________________________________________________________________<br />

City: __________________________________________ State: __________ Zip: _____________________<br />

Phone: ____________________________________ Fax: ________________________________________<br />

Email: _________________________________________________________________________________


Presenter In<strong>for</strong>mation (continued):<br />

Please include a short bio <strong>for</strong> the conference program <strong>for</strong> each presenter (3 to 5 sentences.) Include your<br />

professional background, relevant knowledge in chemical dependency <strong>and</strong> presentation experience.<br />

_____________________________________________________________________________________________<br />

_____________________________________________________________________________________________<br />

_____________________________________________________________________________________________<br />

_____________________________________________________________________________________________<br />

_____________________________________________________________________________________________<br />

_____________________________________________________________________________________________<br />

_____________________________________________________________________________________________<br />

Educational background__________________________________________________________________________<br />

_____________________________________________________________________________________________<br />

Professional licenses <strong>and</strong> certifications______________________________________________________________<br />

_____________________________________________________________________________________________<br />

_____________________________________________________________________________________________<br />

Please describe your workshop in 5-7 sentences (what will you present <strong>and</strong> how, what participants will do, etc):<br />

_____________________________________________________________________________________________<br />

_____________________________________________________________________________________________<br />

_____________________________________________________________________________________________<br />

_____________________________________________________________________________________________<br />

_____________________________________________________________________________________________<br />

_____________________________________________________________________________________________<br />

Please list 2-3 of your workshop goals/objectives (or use a separate lesson <strong>for</strong> your workshop):<br />

1. ____________________________________________________________________<br />

2. ____________________________________________________________________<br />

3. ____________________________________________________________________<br />

********Your workshop description <strong>and</strong> bio will be included in the conference program********<br />

Please check which of the 12 CORE FUNCTIONS your presentation will address (check all that apply):<br />

Screening<br />

Orientation<br />

Treatment planning<br />

Case management<br />

Client education<br />

Intake<br />

Assessment<br />

Counseling<br />

Crisis intervention<br />

Referral<br />

Reports <strong>and</strong> record keeping<br />

Consultation with other professionals regarding client treatment <strong>and</strong> services<br />

Will you be registering <strong>for</strong> the conference? YES NO<br />

Please return by July 18, 2013 to:<br />

Paula Froemke, MAIIADS Coordinator Assistant<br />

<strong>Fond</strong> du <strong>Lac</strong> <strong>Tribal</strong> <strong>and</strong> <strong>Community</strong> <strong>College</strong><br />

2101 14 th Street<br />

Cloquet, MN 55720<br />

218-879-0775 (phone) 218-879-0814 (fax)<br />

pfroemke@fdltcc.edu

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