Apply to Speak Packages Register Now Eduweek Invitation EAPASA Eduweek Speaker Application Form If you have not read all the information, please re-visit all these pages and read before you submit your application online: Step 1: The Eduweek Presentation Formats Step 4: Speaker Term & Conditions Step 2: Themes, Topics & Domains Step 5: How To Complete The Speaker Application Form Step 3: 10 Tips of Application Success Step 6: The Speaker Application Form Eduweek Speaker Application Form 2022 Step 1 of 5 20% PLEASE NOTE THAT SPEAKER APPLICATIONS DEADLINE IS THURSDAY 30 JUNE 2022Personal InformationPlease don't create or type out your application form online - please type it out on a text file or word document and copy and paste it into here.Name*Please give your name as you would like it to appear on the programme Prefix Mr.Mrs.MissMs.Dr.Prof.Rev. First Last Degree*Or highest qualification Council Registration*Please confirm if you are registered with the HPCSA, SACSSP or any other council or statutory body? Please state the name of the body and your registration number? Write "n/a" if this does not apply to you. Please upload a copy of your proof of council registration:e.g. membership card or certificate Drop files here or Select files Max. file size: 64 MB, Max. files: 3. Email* Cell Phone Number*Landline Number*Company Name* Company Website address Province/State and Country that Company is based in* Your Facebook Profile linkYou can provide your personal or business profile link, whichever one you would prefer that we give to delegates to stay in touch with you. Your Twitter Profile LinkYou can provide your personal or business profile link, whichever one you would prefer that we give to delegates to stay in touch with you. Your Instagram Profile LinkYou can provide your personal or business profile link, whichever one you would prefer that we give to delegates to stay in touch with you. Your LinkedIn Profile LinkYou can provide your personal or business profile link, whichever one you would prefer that we give to delegates to stay in touch with you. Profile Photo*Please upload a HIGH RESOLUTION head and shoulders image of yourself that will be printed in the programme. Please ensure that the photo is of high quality as it is required for printing in colour.Accepted file types: jpg, gif, png, pdf, Max. file size: 64 MB. LogisticsThe set up and layout Will you be presenting with another Speaker?* Yes No Who will you be presenting with?*Please provide their full name and title Please provide your co-presenters 50 word bio* Type of presentation*Please note that the organisers and hosts will not provide any handouts, equipment, stationery or materials - this is your responsibility and for your account.Please select onePlenaryWorkshop (2hours)Research Poster Presentation (15 minutes)Non Traditional Presentation*Will you be including any additional unorthodox material or equipment in your presentation. Please select oneYesNoNon Traditional Details* What kind of microphone would you like for your presentation?*There will already be a handheld microphone available for audience Questions. Presenters with special audio-visual or technical needs or requests should include a description of their requests in their proposals. Where possible and practical, special equipment requests may be accommodated, at the presenter’s expense (details of cost will be discussed prior to approval).Lapel microphoneCountryman HeadsetPodium/lectern microphoneHandheld microphoneWhat kind of seating layout would you prefer for your presentation?*We will do our best to create the speaking schedule in a way that allows for your specific seating layout request. Please note that sometimes this may not be possible due to time constraints in changing the room. We will endeavour to give you the layout closest to what you request. School room style (table and chair) Cinema style (chairs only) Round tables - full Round tables - half moon U shape No Chairs or tables Your Presentation DetailsProvide us with information about the content of your presentation Presentation Title* Topic Stream*To best know how to place your presentation in the programme. Please select oneIndustry LevelOrganisational LevelIntrospectionContent Focus Area*To best know how to place your presentation in the programme. Please select oneGrowing and innovating EAPsDealing with common workplace problemsNew workplace issues facing EAPCritical facets in maintaining a healthy EAP industryGrowing and innovating EAPs*Select one that is most appropriatePlease select oneIntegration of synergistic disciplinesExpansion of service offerings to suit the new normalBest practice – success stories/case studiesEthicsDealing with common workplace problems*Select one that is most appropriatePlease select oneTraumaSubstance abuseMental healthAddictionsDiscriminationGender issuesUnforeseen crisisNew workplace issues facing EAP*Select one that is most appropriatePlease select oneBurnoutPsychological safetyDiversity, equity and inclusionSpirituality in the workplaceGenerational blendingToxic cultures or leadersOngoing COVID-19 issues: Up-to-date parameters for COVID-19 safety protocols/ The legal parametersfor mandatory vaccination and boosters / Supporting employees suffering from the effects of long-haulCOVID-19 symptomsThe role of remote managers in employee wellnessCannabis in the workplace contextNew leadership and management styles for hybrid work practicesHelping employees navigate change and the new future of workCritical facets in maintaining a healthy EAP industry*Select one that is most appropriatePlease select oneThe critical nature of ongoing educationRaising the bar: Moderating the educational standards of EAPTraining the trainerCompassion fatigue and the need for self-care among EAPsKeeping pace with the needs of a rapidly changing workforceEAP and private practice- the affiliate spaceBiographical information related to the topic*Tell us why we should select you to present on this specific topic? This information should inform the Conference Committee of your professional experiences and/or academic qualifications related to the abstract. Prepare a descriptive paragraph or two rather than a resume (2000 word limit) 50 Word Biography for Publication*Information about YOU that will be published in the programme. It is a brief biography (50 word limit). Please don’t repeat the information from above. Don’t repeat any contact information (such as title, company) in this brief biography. Your speaking experience 1*What experience do you have in terms of speaking at other conferences/functions.Experience 2Experience 3 Abstract for Conference Committee Consideration*A rich description of your presentation content. 500 word limit Session Description*Marketing language designed to attract attendees. We will publish this paragraph exactly as it is on the website. (100 word limit). Learning Objective 1*Must be behaviourally-based and observable. Text entered here will be used for obtaining CPD credit and publication. Learning Objective 2 Learning Objective 3 Audience Level*Please select oneIntermediateAdvancedWould you like to present at local Chapter Seminars:*Please select oneYesNoDo we have your permission to share the following with delegates or publish on the EAPASA website?*Please tick which of the following we are allowed to publish. Email Address Cell Phone Number Landline Number PDF version of your presentation None of the above If we record the proceedings of the conference, do we have your permission to publish the recording?* Yes No Specific RequirementsPlease let us know if you have any other specific requirements with regards to your presentation that have not been mentioned above? Terms and Conditions*By ticking this box you confirm that you have read and understood and agree to the terms and conditions of speaking at the EAPASA 2022 Eduweek. To read the Terms and Conditions click here. Terms and Conditions Yes Δ
