CAGC 2021 Speaker Information Form Question Title * 1. The following information will be how you will be listed in conference material: Name (including degrees): Your Main title: Institution: Question Title * 2. The following information will be used in order to contact you regarding your presentation: Mailing Address: Phone Number: Fax Number; E-mail Address: Question Title * 3. May we list your e-mail address in our conference attendee listing? Yes No Thank You Question Title * 4. Presentation Title Question Title * 5. Educational Objectives: Please list 3 or more. List each objective in learner-oriented, measurable terms that consist of ONE action or outcome. The verb “understand” is not measurable.At least one learning objective is required for every 30 minutes of educational content AND at least one learning objective is required for each speaker. An exception can be made for panel discussions, where the number of objectives will be based on the length of the panel session and not on the number of panelists. For example: Tip: View a brief instructional video at http://nsgc.org/d/do/6013.For a list of actionable words, please reference the "Speaker Information" page on the conference website. http://www.cagcconference.ca/2021/speaker-information/ At the end of the session, the participants will be able to: Question Title * 6. Description: Please provide a summary of your presentation (overview of material - maximum of 100 words). At the end of your summary please indicate your target audience. Question Title * 7. Biography: Please provide a short bio (1-2 paragraphs). Question Title * 8. Headshot Photo I will send a headshot photo to the Conference Office by email to cagc@eventsmgt.com Authors declaration:I agree that the Canadian Association of Genetic Counsellors may make my presentation available to individuals who may be interested in accessing it by posting it on the CAGC Website.I, the undersigned, the author of this presentation, certify that I have obtained all customary and necessary permission to use and print any copyright material that appears in my presentation. Question Title * 9. Speaker Signature: Question Title * 10. Date: Done