MHPN - MHPN

Would you like the opportunity to present to a group of mental health practitioners, either in-person or online?

MHPN supports around 300 networks of mental health practitioners that meet all over the country. Network meetings often feature a guest speaker who presents on their area of expertise.

Presentations can be in-person or delivered virtually, depending on the individual network’s requirements. Each network has a limited budget, some of which may be allocated to pay a guest speaker. Hence that completion of this form is not a guarantee of payment for presentations, as this is dependent on the budget of each network.

Complete the form below if you’d like to provide details about yourself and the type of presentation you could deliver. MHPN will look to match you with a network with an interest in your field of expertise.

What happens after I fill in the form?

You will receive a confirmation email. Please check your junk / spam folder if you don’t receive it in 48 hours.

Your details will be added to MHPN’s Guest Speaker Register and you will be contacted if a network is interested in asking you to present at a meeting.

If you require further information, please call 1800 209 031 or email networks@mhpn.org.au

First Name*:
Last Name*:
Email Address*:
Contact Phone Number:

Locations where you can present face-to-face*:	^{For example: anywhere in metro Melbourne}
State*:
Profession*:
If other, please specify:
Please indicate your availability to present at network meetings*:	^{Network meetings are held in-person or online, predominantly during the Monday to Friday work week and outside business hours (from 5pm onwards).}
Please select the area/s of expertise you will present on*:	Aboriginal and/or Torres Strait Islander Mental Health Ageing Anxiety Bullying Child & Adolescent Chronic Disease (Cancer, Cardiovascular, Diabetes, Pain) Developmental disorders (Autism, Aspergers, ADHD) Drug and alcohol Eating Disorders End of life and palliative care E-health Gambling Grief & Loss Intellectual and/or Physical Disabilities Mood Disorders (Bipolar, Depression) Perinatal and Infant Personality Disorders Professional Practice Issues Psychosis Regional, Rural and Remote Mental Health Challenges Service Overview Sexuality and Gender Suicidality and Self-harm Sleep Disorders Transcultural Trauma Treatment and intervention focused
Please elaborate on your experience or expertise in the areas you have selected*:
Please identify three main topic titles for your presentation:
Can you present:*:	Face to face Online Both depending on location
Biography (150 words max):
Is there any other information you would like us to know?:
How did you hear about this opportunity?:
Privacy*:	MHPN will hold your information securely and limit access to MHPN staff and, if you provide your consent, the locally based practitioners who lead the networks (called network coordinators). Please note all the other information that doesn’t identify you will still be accessible to network coordinators. Please choose one of the below to confirm your preference for being contacted to discuss an opportunity to present at a network meeting:* I am happy for all the information on this form to be provided to network coordinators so that they can contact me directly. No, please do not pass on my personal details listed (full name, contact details and biography) to network coordinator/s until a Project Officer has sought my consent. Other
(If other, specify):

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Guest Speaker Register Form

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