THE PHILADELPHIA ALLIANCE by Mdfk3H

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									                           Request for Workshop Proposal
                                  DEADLINE: January 6, 2012

                              The Philadelphia Alliance
                Ninth Annual Conference for Direct Service Professionals
              “Advancing in the Human Services Field: It’s Not a Job, It’s a Profession”
                Friday, April 20, 2012 at Hilton Philadelphia City Avenue


Presentation Title: _________________________________________________________________________

Presentation Description: Please describe the presentation as you would like it to appear in the
conference brochure. Be brief but explanatory as there is limited space in the brochure to be printed.
All presentations are 1 hour and 15 minutes in duration.

__________________________________________________________________________________________

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Your Target Audience: ______________________________________________________________________

* Include/attach an outline of your presentation, describing your content and workshop objectives.
__________________________________________________________________________________________

Presenter #1: Name and Title:
Organization: ______________________________________________________________________
Address: ___________________________________________________________________                         ___
Phone: ________________ Email: _________________________________ Fax: _______________
Presenter #2 (if applicable): Name, Title and Organization:_______________________________
__________________________________________________________________________________________
Please also forward a vita or resume of the primary presenter(s):
____________________________________________________________________________________ _____

Primary Contact (if other than Presenter #1): Name:

Address: ___________________________________________________________________                         ___

Phone: ________________ Email: _________________________________ Fax: _______________

Please submit this form and Outline electronically to: Vicki Haggerty at Vicki@philalliance.net
Questions: Call Vicki Haggerty at 267-385-7440          DUE: January 6, 2012
This form and other Conference Information can be found online at www.philalliance.org

								
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