2022 JuST Conference Co-Presenter Applications

Name*

Prefix First Last

Credentials

if available - (ex. JD, PhD, MSW, CMHP, etc. )

Organization*

Occupation

Job Title*

Email Address*

Address*

Street Address Address Line 2 City State ZIP Code

Work Phone*

Mobile Phone*

Accreditation

Please include information for the following section if available. This information is collected purely for applications to national accreditation agencies such as NASW, NBCC, CLE.

Degree / Licenses Held (if applicable)	Institute	Year Received

Required Terms and Conditions*

As a condition of being accepted as a presenter for the 2022 JuST Conference, you must agree to

I have read and agree to all of the application instructions
Repeat your workshop if scheduled to do so.
Be available to present on any day throughout the conference period of November 2 - 4, 2022 (**Schedule conflicts will be considered if noted on the application freeform notes).
I agree to not use my presentation time as a platform to sell my service(s) and/or program(s).
Submit handouts and/or a pdf of your presentation no later than October 8 and abide by presenter deadlines as communicated.
NOT to livestream your session as it is presented on behalf of the JuST Conference.
Understand that registration fees will only be waived for up to two presenters for each session.
Understand that a group of field experts will be reviewing applications alongside Shared Hope staff.
I agree to keep my remarks during my presentation(s) non-partisan.

Please mark all that are applicable

I am unable to present if my travel expenses are not covered by Shared Hope International.
I am a sex trafficking survivor.
I am a labor trafficking survivor.

How many years have you worked in the child abuse, maltreatment, or trafficking field?*

Co-Presenter Bio for Conference Program (800 characters)*

This bio is for use in the conference program and promotional materials. It should focus on your current employment/assignment and professional responsibilities/activities.

Main Speaking Session

Presentation Title*

Main Presenter and other Co-Presenters*

Please list the Main Presenter for this session and any other Co-Presenters so that we can match your applications.

Additional Information

Have you presented this workshop before?*

Yes
No

Other Events*

List conferences or events where you have presented this material in the past. If you have not presented this specific material, you must provide a history of relevant speaking experience.

If you have a sample of you presenting, please include a link here

video, audio or post URL

If you have a sample of your published writing, please include a link here:

Enter URL below

Photo Upload*

The photo you submit will be printed in our conference program and utilized on the website. We must have a high-resolution headshot and prefer photos that compliment your face (no sunglasses, hats, etc.). If you are unable to provide a headshot, you may provide your agency’s logo instead. You must attach the photo as a separate file in jpeg, tiff or png format, saved as your name. If the photo resolution does not meet our standards, we may request a new photo.

If you would prefer that your photo not be published, please upload a logo file of your representing organization.

Accepted file types: jpg, png, tiff, pdf, jpeg, Max. file size: 8 MB.

Resume Upload*

All presenters must submit a current CSV or resume with their application, to include any/all degrees (with the institution and year) and relevant certifications, trainings, etc. This is purely for applications to national accreditation agencies such as NASW, NBCC, CLE.

Accepted file types: pdf, csv, docx, Max. file size: 6 MB.

Additional Comments and or Schedule Conflicts for November 17-19, 2021

Shared Hope Anti-Trafficking Resource Network

The Shared Hope Anti-Trafficking Resource Network (ATR)– is a peer-to-peer communication listerv created for anti-trafficking professionals.

Yes, please add me to the ATR

If you do not see the Submit button below, go back and make sure you have completed all the required fields. Be sure you have checked all of the boxes in the terms & conditions section of this form.

Name

This field is for validation purposes and should be left unchanged.

2022 JuST Co-Presenter Application

Main Speaking Session

Additional Information

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