Program Title

Description/Abstract of Program

Learning Objectives

Relevant Citations/References

Program Presenter(s), Name(s) & Institution(s)

Title(s), Degree(s), and Discipline(s)

Primary Contact Phone & Email

Content Content Counseling/Clinical Focus Administrative/Supervisory Focus Campus-wide Focus (inter-departmental or inter-disciplinary strategies, etc.) Other

Appropriate Audience/Participant Appropriate Audience/Participant New Directors Intermediate Directors Advanced/Administrators/Experienced Directors

Time Block

Other Information

Please list any special arrangements needed

Please note any known commercial support for the workshop or the presenter, or other known conflicts of interest.

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