WEBINAR PROPOSAL

I. Biographical Information
Complete the fields below for each presenter. The first presenter will be designated as the point of contact and will be
contacted should NASP have any questions about a submission, or if your webinar proposal has been selected. Webinars
are limited to no more than three presenters.

First Presenter – Primary Contact

First Name:
Last Name:
Degrees/Credentials:
Street Address:
City:
State:
Zip/Postal Code:
Preferred Phone:
Email:
□ NASP Member □ Not a NASP Member
If you wish to join or renew your membership, you can do so via phone (call us
at 301-657-0270 ext. 300), online, or by printing and mailing in the Membership
Application.
Current position/title:
Company:
Company Website:

Second Presenter (if applicable)

First Name:
Last Name:
Degrees/Credentials:
Phone:
Email:
□ NASP Member □ Not a NASP Member
If you wish to join or renew your membership, you can do so via phone (call us
at 301-657-0270 ext. 300), online, or by printing and mailing in the Membership
Application.
Current position/title:
Company:
Company Website:

Third Presenter (if applicable)

First Name:
Last Name:
Degrees/Credentials:
 Phone:
Email:
□ NASP Member □ Not a NASP Member
If you wish to join or renew your membership, you can do so via phone (call us
at 301-657-0270 ext. 300), online, or by printing and mailing in the Membership
Application.
Current position/title:
Company:
Company Website:
Please describe and/or provide
evidence of previous presentations
(e.g., evaluations from previous
talks) among the presenters;
include any previous experiences
with webinars as well.

Highlight relevant experience or

expertise in content area of
presentation among the presenters.

II. Webinar Summary

This information will be shared with participants should NASP accept your proposal.
Proposed title of presentation:

Description (75 to 100 words):

Three proposed learning objectives 1.

(Please review NASP’s Guidelines
for Writing Learning Objectives prior 2.
to submitting your proposal.):
3.

NASP Practice Model Domains □ Domain 1: Data-Based Decision Making and Accountability
covered in presentation (may □ Domain 2: Consultation and Collaboration
identify more than one):
 □ Domain 3: Interventions and Instructional Support to Develop Academic Skills
□ Domain 4: Interventions and Mental Health Services to Develop Social and
Life Skills
□ Domain 5: School-Wide Practices to Promote Learning
□ Domain 6: Preventive and Responsive Services
□ Domain 7: Family–School Collaboration Services
□ Domain 8: Diversity in Development and Learning
□ Domain 9: Research and Program Evaluation
□ Domain 10: Legal, Ethical, and Professional Practice
What problem(s) or issue(s) will this
webinar address?

Describe how the knowledge

gained from taking this course will
benefit school psychologists:

Interactive tools you’d like to use

(e.g., live polling, opportunities for
live Q&A):

Anticipated handouts and resources

you plan to provide beyond the
slides (e.g., tools, manuals, scripts,
adaptable samples):

Webinars are typically held on Preferred months:

Fridays. Please identify any months
of the year that are either preferred
or typically unavailable: Unavailable months:

III. Submission Requirements

You must agree to the following requirements for your submission to be considered.
□ I have read the Frequently Asked Questions for Webinar Presenters.
□ If my submission is selected, I will be expected to complete all stages of the planning process and execute the webinar
in order to receive the honorarium, including:
o Developing an eight-question multiple choice posttest prior to the webinar
o Writing a brief blog post for the NASP website
o Providing materials beyond the PowerPoint slides
o Having the use of a webcam for a portion of the webinar
All proposals must be submitted to onlinelearning@naspweb.org no later than Tuesday, December 15, 2021 at 5:00
p.m. EDT. Proposals submitted by any other means or after the deadline will not be accepted.