Dear Speaker, To prepare your Speaker’s Agreement, we kindly ask that you complete the questions below. By way of context, our conferences typically welcome 200–300 attendees. The audience is primarily made up of mental health professionals and students in psychology, psychiatry, social work, counselling therapy, occupational therapy, and nursing from across Canada, most of whom are CACBT-ACTCC members. We encourage speakers to tailor their presentations with this audience in mind. Thank you for your contribution, we greatly appreciate your participation and look forward to your session. Name * First Name Last Name Speaker's Credentials & title (e.g. First and Last Name, PhD., C.Psych) * Affiliation(s) of Speaker (e.g. University of "X", Dept") * Speaker's Mailing Address * Speaker's Telephone number(s): (Provide a number you can be contacted at on the day of the conference) * Speaker's Email * Speaker's Presentation / Workshop Details The information below will be included in promotional materials and the Conference Program. Please ensure it is entered exactly as you would like it to appear. Presentation Title * Brief Description of Presentation/Workshop (200 words) * Learning Objectives (Please provide 3 learning objectives) * Biographical Summary (200 words) * Do you wish to add any additional comments? Thanks for completing this form. We will work on preparing your Speaker's Agreement and send it to you shortly. Speaker’s Information Request Form
