2025 - Propose a Workshop
CCHF Conference 2025
April 9-12 in Cincinnati, OH
Submission Deadline is
October 18, 2024
. If you need a little more time, please
contact
the CCHF office.
In order to submit this form: You'll be asked to upload a good quality photo and CV/resume for yourself and any co-presenters.
T
hese are required.
Please be prepared before beginning your proposal.
Presenter Information
First Name
Last Name
Credentials
MD, PhD, PA-C, etc.
Organization/Clinic Name
Your Job Title
What do you prefer to be called?
Is this your 1st CCHF conf?
Yes
No
Have you previously presented at a CCHF conference?
Yes
No
Have you presented
this workshop
somewhere else?
Yes
No
Gender
Male
Female
Preferred email
Cell Phone
Work Phone
Street Address
City
State
Zip
Your assistant's name (first and last)
Your assistant's title
Your assistant's work email:
Do you plan to have a co-presenter(s)?
No
Yes
Not yet sure
Photos and Resumes/CVs must be provided for all co-presenters.
I will be presenting with:
Will you record a 30-minute video of your session?
Would you be willing to pre-record a 30-minute version of your workshop
that will be posted on the CCHF website following the conference? Our staff is prepared to provide 'how-to' instructions and coach you through the recording.
These
videos are due by 2/15/2025.
Great idea! Count me in!
I'm willing to try but will definitely want help from CCHF staff!
Not sure but willing to talk more about this.
Session Information
Session Title
Choose a title that will both define what you plan to present and attract people to attend.
Session Description
This course description will appear in the Conference Program. Limited to 650 characters.
State the problem that your session will seek to solve.
State the objectives of your session.
Solutions you will propose for the problem or the take-aways attendees can expect to receive.
Which of the following audiences will be benefited by your session?
Administrators or Directors
Behavioral Health Providers
Clinic Start Ups
Health Providers
M.A.T. - Medically Assisted Treatment for Addiction
Med/Health Students or Residents
Nursing Professionals
Oral Health Providers
Population Specialty Care (HIV, Diabetes, Breast Health, etc)
Spiritual Health
Support Staff
Applies to all areas
Other
Select all that apply. If "other", enter description here.
Special Needs or Instructions for your Room
Each room will be equipped with projectors and screens. Poster pads upon request. Presenters
MUST
bring their own laptops and cords.
Do you have any books that you want us to offer at our Book Table?
If you have authored a book, or if you are referring to or recommending a book in your session, let us know so that we may offer it at our book table. We are a Christian conference, so all books offered need to be from a Christian author/perspective.
Workshop Format and Style
All workshops are 1-hour sessions and will be scheduled on either Thursday (9-11am and 2:30-5pm), Friday afternoon (1-5pm) or Saturday morning (9:30am-11am).
Style Options
(select all possible options for your session)
Lecture
: In this traditional format presenters are encouraged to allow audience exchange every 7 minutes and to allow 10+ minutes for Q&A at the end of the session.
Case Study
: A real-life scenario is presented which is then considered individually or in groups. Presenter debriefs audience and gives key takeaways.
Role Play
: Presenters prepare a simulation scenario with pre-selected participants. Presenter debriefs and discussed keep concepts with the group.
Buzz Session
: After issue or task is presented audience is divided into table groups for discussion. These groups report their ideas.
Panel Discussion
: A panel of three to four presenters each make brief comments on topic and moderator then allows Q&A.
If selected to present when do you anticipate
arriving
at the conference? Conference begins on Thursday, April 10 at 9:30 am.
If selected to present when do you anticipate
departing
from the conference? Conference ends on Saturday, April 12 at 1pm.
Registration and Reimbursement
Conference Registration Fees
Traditionally CCHF presenters have served at their own expense or are sponsored by their organizations. However, for those needing assistance CCHF can offer to cover registration and/or partial expenses for one presenter per workshop
.
If selected to present, either my organization or I will cover my conference registration fees.
If selected to present, I ask that CCHF pay my registration fees.
Speaker Travel Reimbursement
No,
I do not plan to request travel reimbursement.
Yes,
I plan to request travel reimbursement.
Travel related expenses up to $300. Eligible expenses are hotel and travel costs. This offer is extended only to the lead presenter or panel organizer. Travel Reimbursement is paid upon request (with receipts)
following
the conference.
Upload files
Upload
your
Resume/CV
Upload
co-presenter/panelist
Resume/CV
Upload
co-presenter/panelist
Resume/CV
Upload
co-presenter/panelist
Resume/CV
Upload
co-presenter/panelist
Resume/CV
Upload
your
photo for use in conference materials
Upload photo of
co-presenter or panelist
Upload photo of
co-presenter or panelist
Upload photo of co-presenter or panelist
Upload photo of
co-presenter or panelist
Legal Agreements
I agree to the Representation and Intent Policy
yes
I agree to represent the mission and values of CCHF - Christian Community Health Fellowship over my personal agenda or the agenda of my organization.
I agree to the Distribution of Notes Policy
Yes
If you require that attendees have their own copy of your notes during your presentation, you will need to provide those notes. CCHF staff will be unavailable to reproduce notes prior to the workshop. If you want your notes made available after the presentation, CCHF staff will be happy to distribute your notes after the conference to attendees who request them. Please provide your notes to the CCHF office by either 1) e-mailing the file to info@CCHFmail.org, 2) dropping a clearly labeled flash drive off at the Conference Resource Table or 3) mailing a clearly labeled flash drive to the CCHF office at 2595 Central AV, Memphis, TN, 38104. Word (.doc or .docx); .pdf files; PowerPoint (.ppt); and JPEG (.jpg) are acceptable formats.
I agree to the Session Change or Cancellation Policy
Yes
CCHF hopes that you regard your role at the conference as highly as we do. Cancellations are major interruptions for everyone, and have a tremendously negative impact on attendees and organizers. Should an emergency arise, please contact the CCHF staff immediately. Due to CE controls and programming, significant changes in topic, speaker or title are not permitted once submittals have been made by our office to the CE agency or our printer. Please contact the CCHF office with any questions. (901) 271-6400; info@CCHFmail.org
I agree to the Team Teaching Policy
Yes
Sessions taught by more than one person will most likely be noted in the program and on the website by only the main presenter or designated moderator. Stipends and reimbursements are limited to the main presenter or designated moderator.
I agree to the Book Selling Policy
yes
The promotion of books, publications and events may disqualify a workshop from being eligible for CE credit. Speakers may not promote other events during their workshops without prior permission. Books may not be sold or promoted in the workshops.
However
, CCHF will have a Resource Table during the conference. If you have authored a book, and your book is 1) consistent with the mission of CCHF, 2) consistent with the theme of the Conference, and/or 3) related to the topic of your workshop, we would like to make it available to our attendees. Please contact our office with requests to offer books at our Book Table.
I agree to the Rights to Record Policy
Yes
I understand that most breakout and plenary sessions are recorded and made available to attendees and for display and download on the CCHF website. By accepting an invitation to speak, I grant the right for CCHF to record sessions and reproduce information for wider distribution. CCHF may in its discretion, duplicate and/or edit each recorded session. Presenter hereby grants CCHF and its assigns the non-exclusive right to make, sell or otherwise distribute copies of the recording in mp3, mp4, or other appropriate electronic format, and in written transcript form, and to use my name and likeness in connection with such copies. The Session may be podcast, viewed and/or downloaded worldwide, via the web. CCHF shall have no obligation to pay royalties or other compensation to Presenter in connection with recording, duplication, display, showing, broadcasting (internet or otherwise), sale, distribution, sub-licensing, or any other use of the recording as set forth in the Policy. CCHF and its assigns shall be permitted to display/show the recording or parts thereof at all times.
I agree to the Permissions Policy
Yes
CCHF may take pictures, video, make interviews, and record sessions and other portions of the conference. I give CCHF, its agents and assigns, permission to publish, distribute, broadcast, televise, promote, license, sell and copyright for educational or related promotional purposes any photograph, videotape, motion picture, or sound recording produced directly by CCHF or under its sponsorship, which may include the image or likeness of me. I also authorize CCHF to reproduce, amplify, simulate, filter, or otherwise distort my voice and all instrumental musical and other sound effect produced by me. In addition, I authorize the use of any printed material in connection therewith. I release all claims against CCHF and its assigns with respect to copyright ownership and publication. I agree and shall not receive any fee and that all rights, title, and interest to the above materials and use of them belong to CCHF. I understand and agree that these materials may be duplicated or distributed with or without charge, and/or altered in any form or manner without future/further compensation or liability, in perpetuity. I understand that CCHF is obtaining this release and assignment of copyright in order to conform to U. S. copyright laws and international treaties and conventions.
Or enter link here:
If your workshop might qualify for
Continuing Education Credit
, please provide citations of peer-reviewed articles (scientific/medical journals, etc.) that were used as one of the determining factors for identifying professional practice gaps that you plan to address.
Contact Information