2022 Behavior Therapy Training Institute (BTTI) Sponsorship Application

2022 Behavior Therapy Training Institute (BTTI) Sponsorship Application

Thank you for your interest in sponsoring a 2022 Behavior Therapy Training Institute (BTTI) session! Please review the full 2021 Prospectus (PDF) prior to filling out the form below. If you have any questions, please contact Kristen Lynch at klynch@iocdf.org.

Organization Information

Organization Name

Organization Website URL

Mailing Address

City

Country

State

Provinces

State/Province

Postal Code

Primary Contact Information (for internal use only)

First Name

Last Name

Credentials (if applicable)

Title/Role

Phone

Email

Desired Sponsorship

I am interested in a(n):

Affiliate Partnership (i.e., I am a representative of an official IOCDF Affiliate)BTTI Sponsorship (i.e., I am a representative of a clinic/program/organization, etc.)

I am interested in sponsoring a:

Live, in-person BTTIVirtual BTTIEither

Preferred date for an in-person BTTI (choose at least one):

General BTTI: April 22–24, 2022 (Location TBD)General BTTI (BIPOC-focused): April 29–May 1, 2022 (Washington, DC)General BTTI: June 24–26, 2022 (lLocation TBD)Pediatric BTTI: August 5–7, 2022 (Location TBD)General BTTI: October 7–9, 2022 (Location TBD)

Preferred Dates for virtual BTTI (choose at least one):

General Virtual BTTI: January 13–15 & 21–22, 2022Pediatric Virtual BTTI: April 7–9 & 15–16, 2022Pediatric Virtual BTTI: May 12–14 & 20-21, 2022General Virtual BTTI: August 18–20 & 26–27, 2022Pediatric Virtual BTTI: October 13–15 & 21–22, 2022

Preferred location for an in-person BTTI (city, state):

Although we plan and recommend hosting in a hotel, are you able to offer complimentary meeting space as listed below?

– Friday/Saturday 7am-5pm: One large room that can seat up to 35, classroom style and has the following required Audio/Visual components: Projector and Screen, Laptop and Podium, Connector cables, Mixer and handheld or wireless microphone, Slide advancer
– Sunday 7am-3pm: Six, small breakout rooms for small groups, set to seat six adults each, boardroom style (table in center); no Audio/Visual needed

Please note: All space must be located convenient to a local airport, and within walking distance of lodging

Yes, exactly as outlinedNoAlternative space

In you can offer an alternative space, please explain describe below:

Desired Sponsorship Level (Live):

Platinum | $20,000Gold | $15,000Silver | $10,000Bronze | $7,500

Desired Sponsorship Level (Virtual):

Gold | $10,000Silver | $7,500Bronze | $5,000

Contact Information