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</o:shapelayout></xml><![endif]--></head><body lang=EN-US link=blue vlink=purple><div class=WordSection1><p class=MsoNormal><span style='color:black'><o:p> </o:p></span></p><p class=MsoNormal><span style='color:black'><o:p> </o:p></span></p><p class=MsoNormal><span style='color:black'>Tracy Leinbaugh, PhD, NCC, PCC-S<o:p></o:p></span></p><p class=MsoNormal><span style='color:black'>Associate Professor and Chair, Department of Counseling and Higher Education<o:p></o:p></span></p><p class=MsoNormal><span style='color:black'>Ohio University<o:p></o:p></span></p><p class=MsoNormal><span style='color:black'>The Gladys W. and David H. Patton College of Education and Human Services<o:p></o:p></span></p><p class=MsoNormal><span style='color:black'>205 McCracken Hall<o:p></o:p></span></p><p class=MsoNormal><span style='color:black'>Athens, OH 45701<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:black'> </span><span style='color:black'><o:p></o:p></span></p><p class=MsoNormal><span style='color:black'>Phone: 740-593-0846<o:p></o:p></span></p><p class=MsoNormal><span style='color:black'>E-mail: <a href="mailto:leinbaug@ohio.edu">leinbaug@ohio.edu</a><o:p></o:p></span></p><p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p><p class=MsoNormal><span lang=EN style='color:black'>Show, by your actions, that you choose peace over war, freedom over oppression, voice over silence, service over self-interest, respect over advantage, cooperation over competition, action over passivity, diversity over uniformity, and justice over all. </span><span style='color:black'><o:p></o:p></span></p><p class=MsoNormal><span style='color:black'><o:p> </o:p></span></p><div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0in 0in 0in'><p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>From:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'> CESNET-L is a unmoderated listserv concerning counselor ed. & supervision [mailto:CESNET-L@LISTSERV.KENT.EDU] <b>On Behalf Of </b>Kristy Alaine Brumfield<br><b>Sent:</b> Friday, June 10, 2011 3:49 PM<br><b>To:</b> CESNET-L@LISTSERV.KENT.EDU<br><b>Subject:</b> Call for Proposals--LAPT Conference with Garry Landreth Keynote (EXTENDED DEADLINE!)<o:p></o:p></span></p></div><p class=MsoNormal><o:p> </o:p></p><div><p class=MsoNormal align=center style='text-align:center'><b><span style='font-size:16.0pt;color:blue'>LAPT 2012 WORKSHOP PROPOSAL<o:p></o:p></span></b></p><p><b> <o:p></o:p></b></p><p><b> <o:p></o:p></b></p><p><b> <o:p></o:p></b></p><p class=MsoNormal align=center style='text-align:center'><b><span style='font-size:14.0pt;color:red'>THE MANY FACES OF PLAY THERAPY<o:p></o:p></span></b></p><p><b><span style='font-size:8.0pt'> <o:p></o:p></span></b></p><p class=MsoNormal align=center style='text-align:center'><b><span style='font-size:8.0pt'>March 2-3, 2012<o:p></o:p></span></b></p><p class=MsoNormal align=center style='text-align:center'><b><span style='font-size:8.0pt'>LOYOLA UNIVERSITY<o:p></o:p></span></b></p><p class=MsoNormal align=center style='text-align:center'><b><span style='font-size:8.0pt'>NEW ORLEANS, LA<o:p></o:p></span></b></p><p><b> <o:p></o:p></b></p><p><b> <o:p></o:p></b></p><p><b> <o:p></o:p></b></p><p class=MsoNormal style='text-align:justify'><span style='font-size:11.0pt'>The Louisiana Association for Play Therapy is accepting proposals for the 2012 annual conference at Loyola University on March 2 & 3, 2012. Persons in the mental health professions are invited to submit a proposal in the specific area of Play Therapy<o:p></o:p></span></p><p><span style='font-size:11.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'>I<b><span style='font-size:10.0pt'>mportant information: <o:p></o:p></span></b></p><p class=MsoNormal style='text-align:justify'><b><span style='font-size:10.0pt'> </span></b><span style='font-size:10.0pt'>Deadline for submission of proposal<span style='color:red'>: <b>July 15, 2011<o:p></o:p></b></span></span></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p class=MsoNormal style='text-align:justify'><b><span style='font-size:10.0pt'> </span></b><span style='font-size:10.0pt'>Number of copies needed: <b><span style='color:red'>4 of proposal and resume/CV<o:p></o:p></span></b></span></p><p><b><span style='font-size:10.0pt;color:red'> <o:p></o:p></span></b></p><p class=MsoNormal style='text-align:justify'><b><span style='font-size:10.0pt'> </span></b><span style='font-size:10.0pt'>Send copies to: Ray Melerine, LPC, RPT-S<o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'> <o:p></o:p></span></p><address><span class=apple-style-span><span style='font-size:10.0pt;color:#2A2A2A'>2423 Emily Ann Lane, Lake Charles, LA 70605</span></span><span style='font-size:10.0pt'><o:p></o:p></span></address><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p class=MsoNormal style='text-align:justify'><b><span style='font-size:10.0pt'>Date of Program Presentation: <span style='color:red'>March 3, 2012</span><o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p class=MsoNormal style='text-align:justify'><b><span style='font-size:10.0pt'>Presentation Title: </span></b><span style='font-size:10.0pt'>(<b><span style='color:red'>Play therapy</span> has to be in the title.)<o:p></o:p></b></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><b><span style='font-size:10.0pt'>Presenter(s): <o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p class=MsoNormal style='text-align:justify'><b><span style='font-size:10.0pt'>Time of Presentation: _____ 90 minute</span></b><span style='font-size:10.0pt'> presentation with no break for 1.5 contact education hours. <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'> _____ <b>3 hour</b> presentation with one 15 minute break for 3.0 contact education <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'> hours.<o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'> Presentations will be submitted for approval with APT, NASW-LA, LCA, LMFT.<o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><b><span style='font-size:10.0pt'>Type of Session: </span></b><span style='font-size:10.0pt'>_____Workshop _____ Poster session during lunch. <o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='margin-right:.5in'><b><span style='font-size:10.0pt'>Brief, concise presentation description (75 words or less in 3<sup>rd</sup> person): </span></b><span style='font-size:10.0pt'><o:p></o:p></span></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p class=MsoNormal style='text-align:justify'><b><span style='font-size:10.0pt'>Abstract/Relevance to Play Therapy Practice (200 words or less): <o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p class=MsoNormal style='text-align:justify'><b><span style='font-size:10.0pt'>Identify at least 3 specific objectives using the term <span style='color:red'>play therapy</span> in at least 1 objective:<o:p></o:p></span></b></p><p class=MsoNormal style='text-align:justify'><b><span style='font-size:10.0pt'> 1.<o:p></o:p></span></b></p><p class=MsoNormal style='text-align:justify'><b><span style='font-size:10.0pt'> 2.<o:p></o:p></span></b></p><p class=MsoNormal style='text-align:justify'><b><span style='font-size:10.0pt'> 3.<o:p></o:p></span></b></p><p class=MsoNormal style='text-align:justify'><b><span style='font-size:10.0pt'> 4.<o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p class=MsoNormal style='text-align:justify'><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p class=MsoNormal style='text-align:justify'><b><span style='font-size:10.0pt'>Program Content Area(s):</span></b><span style='font-size:10.0pt'> (Check as many areas as relevant.)<o:p></o:p></span></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'>_____Clinical knowledge of play therapy, marriage/family therapy<o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'>_____Theoretical knowledge of play therapy, marriage/family therapy<o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'>_____Human growth and development<o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'>_____Individual, couple, and/or family development<o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'>_____Social and cultural foundation<o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'>_____Assessment/treatment in play therapy<o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'>_____Assessment/treatment in family/marriage therapy<o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'>_____Professional development and ethics in play therapy<o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'>_____Professional development and ethics in family/marriage therapy<o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'>_____Supervision in play therapy, marriage/family therapy<o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'>_____Supervision in family/marriage therapy<o:p></o:p></span></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p class=MsoNormal style='text-align:justify'><b><span style='font-size:10.0pt'>Level: </span></b><span style='font-size:10.0pt'>______ Basic (Foundations for play therapy) ______ Special issues/populations<o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'> ______ Intermediate (Play therapy practice)<o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><b><span style='font-size:10.0pt'>Instructional Method(s): </span></b><span style='font-size:10.0pt'>_____ Lecture ____ Group Exercises ____Other<o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><b><span style='font-size:10.0pt'>Equipment request: Note: </span></b><span style='font-size:10.0pt;font-family:"Calibri","sans-serif"'>Loyola will provide laptops for each presenter. You will need to submit your presentation power point to Loyola prior to the conference. <i>Additional information will be sent to you in ample time to meet all deadlines.<o:p></o:p></i></span></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'> _____Overhead projector & screen _____LCD projector & screen<o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'> _____Microphone _____VCR & TV monitor<o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'> _____Other special requests: <o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'>If request cannot be fulfilled, the presenter has the option to alter the request or cancel proposal.<o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><b><span style='font-size:10.0pt'>Presenter must be at location of conference <span style='color:red'>2 hours prior to presenting</span>; otherwise, your sectional will be cancelled.<o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt;color:red'> <o:p></o:p></span></b></p><p class=MsoNormal style='text-align:justify'><b><span style='font-size:10.0pt'>In case of emergency, you may call: Ray Melerine at 337- 249-7279, LeAnne Steen at 469-441-1215, or Ann Landry at 337-515-4783.<o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p><b><span style='font-size:14.0pt'> <o:p></o:p></span></b></p><p><b><span style='font-size:14.0pt'> <o:p></o:p></span></b></p><p class=MsoNormal style='text-align:justify'><b><span style='font-size:14.0pt'>PRESENTER INFORMATION<o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <u><o:p></o:p></u></span></b></p><p><b><span style='font-size:10.0pt'> <u><o:p></o:p></u></span></b></p><p class=MsoNormal style='text-align:justify'><b><u><span style='font-size:10.0pt'>LEAD PRESENTER: <o:p></o:p></span></u></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'> Name/Credentials: _________________________________________________________<o:p></o:p></span></p><p> <o:p></o:p></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'>Education (Degrees/Majors: __________________________________________________<o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'>Current Position/Organization: _________________________________________________<o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'>Contact address: _________________________­­City: ________ State______ Zip: _____<o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'>Day phone: ( ) _____________ Cell: ( ) _____________ Fax: ( ) __________________<o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'>Other: (____) _______________ e-mail: _____________<o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><b>Brief Bio:</b><b><span style='font-size:10.0pt'> (less than 100 words)<o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p class=MsoNormal style='text-align:justify'><b><span style='font-size:10.0pt;color:red'>Resume or CV (<u>3 pages or less</u>) </span></b><b><span style='font-size:10.0pt'>must be submitted with this proposal; otherwise, proposal cannot be accepted.<o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'>APT member: ___ Yes ___No (If not LA what state branch do you belong to? ____________<o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'>Have you attended past LAPT conferences? ___Yes ___No<o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><b><span style='font-size:10.0pt'>Have you presented this workshop before: ___Yes ___No?<o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'> When? ________________________________________<o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'> Where? _______________________________________<o:p></o:p></span></p><p><b> <u><o:p></o:p></u></b></p><p><b> <u><o:p></o:p></u></b></p><p class=MsoNormal style='text-align:justify'><b><u>Additional Presenter(s)<o:p></o:p></u></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'>Name/Credentials: _____________________________________________________________________<o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'>Education (Degrees/Majors):_____________________________________________________________<o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'>Current position: _______________________________________________________________________<o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'>Organization: _________________________________________________________________________<o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'>Contact address: ______________________City:___________________State:__________ Zip: ________<o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'>Day phone: (___) _________________Cell: (___) __________________Fax: (____) __________________<o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'>Other: (___) __________________________ E-Mail_______________________________<o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><b>Brief Bio:</b><b><span style='font-size:10.0pt'> (less than 100 words)<o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p class=MsoNormal style='text-align:justify'><b><span style='font-size:10.0pt;color:red'>Resume or CV (3 pages or less)</span></b><b><span style='font-size:10.0pt'> must be submitted with this proposal; otherwise, proposal cannot be accepted.<o:p></o:p></span></b></p><p><b><span style='font-size:10.0pt'> <o:p></o:p></span></b></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'>APT member: ___ Yes ___No (If not LA what state branch do you belong to? _______________)<o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'>Have you attended past LAPT conferences: ___Yes ___ No<o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><b><u>Attestation of Presenter(s):<o:p></o:p></u></b></p><p><b> <o:p></o:p></b></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'>I/We (print names) _______________ attest that I/we have the requisite education, training, and/or experience in the mental health profession to be qualified to teach and present on the topic under review. _____ (initial)<o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'>I/We (print names) _________________attest that the educational content in my/our proposal will enhance the professional proficiency of play therapy practice, supervision, instruction, and/or adjunct play therapy activities and responsibilities, such as, play therapy court testimony, etc. ____ (initial)<o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'>__________________________________ ___________________ Signature of Sole/Lead Presenter Date <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'> <o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'>__________________________________ ___________________ <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt'>Signature of co-presenter Date<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt'> <o:p></o:p></span></p><p><span style='font-size:10.0pt'> <o:p></o:p></span></p><p class=MsoNormal><o:p> </o:p></p></div><div><p class=MsoNormal><br>-- <o:p></o:p></p></div><div><div><p class=MsoNormal>Kristy A. Brumfield, PhD, NCC<o:p></o:p></p></div><div><p class=MsoNormal>Licensed Professional Counselor - Supervisor<o:p></o:p></p></div><div><p class=MsoNormal>Registered Play Therapist - Supervisor<o:p></o:p></p></div><div><p class=MsoNormal>Assistant Professor, Division of Education<o:p></o:p></p></div><div><p class=MsoNormal>Xavier University of Louisiana<o:p></o:p></p></div><div><p class=MsoNormal>1 Drexel Drive<o:p></o:p></p></div><div><p class=MsoNormal>New Orleans, LA 70125<o:p></o:p></p></div><div><p class=MsoNormal>504-520-5757<o:p></o:p></p></div><div><p class=MsoNormal><a href="mailto:kbrumfi2@xula.edu">kbrumfi2@xula.edu</a><o:p></o:p></p></div><div><p class=MsoNormal> <o:p></o:p></p></div></div><p class=MsoNormal>******************** See www.CESNET-L.net for information on how to sign-off, sign-up, and use the CESNET-L listserv. <o:p></o:p></p></div></body></html>