American Correctional Association
Workshop Proposal Form
Workshop Title
Workshop Description (50-75 words)
All workshop participants including coordinators, speakers, and moderators MUST
be an ACA member. If you are not currently an ACA member, you may acquire
membership be accessing the following link:
http://www.aca.org/membership
Coordinator
The coordinator is the point of contact for the ACA Professional Development
Specialist. If the coordinator listed will also be a moderator and/or speaker
for this workshop proposal submission, please complete the required
moderator/speaker field with your complete contact information.
Title:
Degree:
Have you passed ACA's Certification Examination (which one)?
Coordinator First Name:
Coordinator
Last Name:
Job Title:
Agency/Organization:
Division/Department/Office:
Facility/Program:
Address
City
State
Zip Code
Work Phone:
Cellular Phone:
Fax:
Email:
Refrences
Refrence 1
First Name:
Last Name:
Job Title:
Agency/Org:
Phone Number:
E-Mail:
Refrence 2
First Name:
Last Name:
Job Title:
Agency/Org:
Phone Number:
E-Mail:
Please complete
this form with current & accurate information. Please make it your
responsibility to call each moderator, speaker and evaluator to verify all
information -- it will appear in the official Conference Program Book. Thanks for your cooperation.
Moderator
The
moderator is responsible for introducing the speaker(s), distributing and
collecting the Attendee Evaluation Form, and completing the Evaluation Feedback
Form.
**Please note that all workshops must have at least (1) moderator and (1)
speaker as a part of their workshop presentation.
Title:
Degree:
Have you passed ACA's Certification Examination (which one)?
First Name:
Last Name:
Job Title:
Agency/Organization:
Division/Department/Office:
Facility/Program:
Address
City
State
Zip Code
Work Phone:
Cellular Phone:
Fax:
Email:
Speaker #1
Title:
Degree:
Have you passed ACA's Certification Examination (which one)?
First Name:
Last Name:
Job Title:
Agency/Organization:
Division/Department/Office:
Facility/Program:
Address
City
State
Zip Code
Work Phone:
Cellular Phone:
Fax:
Email:
Speaker #2
Title:
Degree:
Have you passed ACA's Certification Examination (which one)?
First Name:
Last Name:
Job Title:
Agency/Organization:
Division/Department/Office:
Facility/Program:
Address
City
State
Zip Code
Work Phone:
Cellular Phone:
Fax:
Email:
Speaker #3
Title:
Degree:
Have you passed ACA's Certification Examination (which one)?
First Name:
Last Name:
Job Title:
Agency/Organization:
Division/Department/Office:
Facility/Program:
Address
City
State
Zip Code
Work Phone:
Cellular Phone:
Fax:
Email:
Speaker #4
Title:
Degree:
Have you passed ACA's Certification Examination (which one)?
First Name:
Last Name:
Job Title:
Agency/Organization:
Division/Department/Office:
Facility/Program:
Address
City
State
Zip Code
Work Phone:
Cellular Phone:
Fax:
Email:
All
presentation rooms come equipped with a PC Projector, Projector Screen, Podium
with (1) Microphone, AV Outlets and Surround Sound Audio, If you would like to
request other AV functions to supplement your presentation, please contact the
Professional Development Specialist directly at daryas@aca.org. Also please note
that LAPTOPS ARE NOT PROVIDED.
American Correctional Association
Program Committee
Speaker/Participant Registration Policy
If a speaker, who is a nonmember, is not employed in the field of corrections and is attending the Conference only for his/her presentation and will not be visiting the Exhibit Hall, he/she can apply for a waiver of the registration fee.
If approved, a badge allowing the speaker access to his/her session will be prepared for him/her and will be available at the conference registration area, if the fee is waived.
If a speaker, who is a nonmember, works directly within the field of corrections or if he/she is out of the field, however, earns a living via the field (i.e., vendor, professor, consultant), he/she shall pay the registration fee regardless of the number of sessions that he/she will be presenting at or attending. This policy also applies to retired correctional professionals and foreign participants working in the field. (One day registration is available at less cost than full registration.)
Speakers who represent private vendors or companies shall not use the speaker role as a forum to market specific products or services, but rather must present a generic presentation on the topic. Furthermore, products and services for which the speaker represents shall not be named or referred to by name in any presentation. Attendees with questions about such products or services shall be informed to see an individual at the conclusion of the presentation and/or program. Attendees may also be directed to visit various booths in the Exhibit Hall.
All ACA members who are speakers will pay a registration fee.
(As approved by ACA's Board of Governors on August 4, 2002.)
American Correctional Association
206 N. Washington Street - Alexandria, VA 22314 Phone: (703) 224-0000
- Fax: (703) 224-0179
