OPA Union of Psychology and Spirituality Retreat
Title of Program*
City, State, Zip*
E-mail Address*
Length of Program (standard for Retreat is 3 hours)*
Does this program qualify for ethics? (See ethics description above.
You must also fill out the three questions below.)*
If yes to the question above, describe the ethical issues to be addressed :
State your rationale for ethics focus.
State your qualifications for offering this program in ethics.
Learning Level*
Description of Program*
Learning Objectives stated in the context, "This workshop is designed
to help you:"
Explanation of how your presentation contributes to enhanced
knowledge about psychology or psychology related issues.*
List a maximum of two key references, if appropriate.
How will the presentation address and/or integrate the psychological
aspects or needs of diverse populations?*
Explanation of diversity component within presentation, if applicable
Biography of speaker(s)*
CV of lead presenter* (must upload a word or PDF document)
CV of second presenter (must upload a Word or PDF Document)
References from Other Presentations
Have you presented on this topic before? Where?


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