RVRC Call for Presentations – Missouri Mental Health Foundation

2021 VIRTUAL Real Voices, Real Choices Consumer Conferenct

Presentation Title*
Name of individual submitting application:*
Address*
Street Address Address Line 2 City State ZIP Code
Contact Phone Number:*
Fax Number:
Email Address:
Name of Presenter:*
Agency:
Please provide a brief biography (3-5 sentences maximum, biographies longer than the maximum will be subject to editing before inclusion in the digital program booklet):*
I am a (check all that apply)*
- Self Advocate
- Person in Recovery
- Family Member
- Professional (Must have lived experience or a co-presenter with lived experience)
Please list three references (name and phone number) who can tell the Committee about the presenter's style and ability to conduct a workshop:*
If there are co-presenters, please list their names, a 3-5 sentence biography, what they identify as (self-advocate, person in recovery, etc.) and references for each co-presenter.
Please tell us about your lecture or workshop:*
Please identify which track your presentation would fall under*
(please choose only one, if your are unsure, choose other and explain.
If you chose "Other" in the previous question, please explain here:
What are the seven points your presentation will highlight? Point #1:*
Point #2*
Point #3*
Point #4*
Point #5*
Point #6*
Point #7*