International Council of Psychologists (ICP)

REQUIREMENTS FOR CE COURSE APPLICATION

Due Date: April 15, 2013

When submitting a workshop proposal please include the following information:

A description of the workshop including:

A description of the workshop including:

a. The workshop title (clear and engaging)
b. Primary skills or concepts to be learned
c. Specific goals and learning objectives
Time specific workshop outline – from introduction to conclusion, including methods to be
used in each section (e.g. lecture, case discussion, demonstration, small group
activities)
Electronic copies of any handouts
Resume of the Presenter and Co-Presenter
Any additional qualifications/experience demonstrating topic expertise

COURSE TITLE:

COURSE FORMAT:    (   ) Lecture     (  ) Panel Discussion   (  ) Other; specify:
PRIMARY PRESENTER:

A copy of Primary Presenter’s C.V. must be enclosed

Co-PRESENTER:  (if applicable)

Name:

Job Title:

Mailing Address:

Phone Number:

Fax Number:

e-mail Address:

A copy of Co- Presenter’s C.V. must be enclosed

ABSTRACT OF COURSE: 

 

LEARNING OBJECTIVES:  Upon completion of training, participants can be expected to:

Measurable and Behavioral Learning Objectives; A minimum of three objectives

POST-TEST:  Questions designed to assess participants’ mastery of learning objectives.

 

  

 

 

Multiple choice, True/False preferred; as many questions as learning objectives

q   

Signature of Primary Presenter:  _________________________________________  Date:  ____________