Call for Presenters

1. Presenter Information

Name of Primary Presenter*

First Last

Credentials / Professional Designations*

(e.g. SRT [student RT], RRT, MSc, CCAA, etc)

Title*

(e.g. staff RRT, manager, etc.)

Place of Employment*

(name of institution or organization)

Work Address*

Street Address Address Line 2 City Province Postal Code Country

Email Address*

Enter Email Confirm Email

(professional or work address preferred)

Daytime Phone Number*

The presenter is a student.*

Yes
No

Brief Presenter Biography*

Your biography will be used to introduce you prior to your presentation. Maximum length: 700 characters

Are you requesting to include additional presenters?*

Yes
No

The CSRT covers the travel and two nights’ accommodations for the primary presenter only. All presenters will receive a discounted registration fee.

The CSRT will review all requests for additional presenters and notify the primary presenter if additional presenters have been approved.

Name of additional presenter

Credentials of additional presenter

Email address of additional presenter

Rationale for including additional presenter

Call for Presenters