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Experiences
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Register Now!
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Schedule
Speakers
Experiences
Travel
Contact Us
We are Currently Accepting Applications for Speakers for 2025
A projector, screen and microphones will be provided.
Please bring a laptop that is equipped with an HDMI port.
2025 Conference Presenter Proposal
Full Name
(Required)
First
Last
Email Address
(Required)
Enter Email
Confirm Email
Phone Number
(Required)
Address
(Required)
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Credentials as They Should Appear After Your Name
(Required)
What is Your Job Title?
(Required)
Co-Presenters
(Required)
How Many Co-Presenters Will You Have?
0
1
2
Co-Presenter Name and Credentials as They Should Appear
Co-Presenter Bio Image
Accepted file types: jpg, png, Max. file size: 250 MB.
Co-Presenter Bio
Limit to 500 Characters
Co-Presenter 1 Name and Credentials as They Should Appear
Co-Presenter 1 Bio Image
Accepted file types: jpg, png, Max. file size: 250 MB.
Co-Presenter 1 Bio
Limit to 500 Characters
Co-Presenter 2 Name and Credentials as They Should Appear
Co-Presenter 2 Bio Image
Accepted file types: jpg, png, Max. file size: 250 MB.
Co-Presenter 2 Bio
Limit to 500 Characters
Session Information
Session Title
(Required)
Limit to 15 Words
Session Description
(Required)
Limit to 500 Characters
Session Focus
(Required)
Choose All That Apply
Social Work / Counseling
Trauma
ABA
Community & School Safety
Community Mental Health
Please Include a Brief Biographical Sketch.
(Required)
300 word Maximum - Please also list any books or articles you have published here.
Upload Bio Image
Max. file size: 250 MB.
Are You Interested in Being an Exhibitor or Sponsor?
(Required)
Yes
No
A / V Requirements From Presenter
(Required)
A projector will be provided for each presentation.
Please bring your laptop with the ability to accept an HDMI cable to connect to the projector.
I Understand and Agree
Please Read and Accept
(Required)
I understand and accept that to present one or more breakout sessions at this conference, I will need to register as a participant and pay the registration fee on or before the deadline. Presenters whose proposals have been accepted will receive a discount off the registration fee, if paid on time. I understand that if my proposal is accepted, but I do not pay my registration fee before this date, then my program proposal status will be removed from the list of accepted proposals, and placed on a waiting list to be reconsidered if space is still available once payment is received.
I Understand and Agree
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be empowered.
Culture of Empowerment Conference
Join the Culture of Empowerment Conference by MindSet Safety Management.
Atlanta, GA
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