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* 1. Session Title

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* 2. Speaker (enter information as you would like it listed in the program materials)

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* 3. Audio-Visual Equipment: A laptop and projector will be provided - please specify any additional equipment you may require (e.g. flipchart)

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* 4. Learning Objectives: List 3 or more. The objectives should be written from the perspective of the learner, descriptive of what the learner will gain in knowledge, skills and attitudes as a result of participating in the event; and written to enable evaluation of achievement by the planners and participants.

Please use verbs that denote an observable action, such as "list, explain, summarize, discuss, compare, etc." NOTE: it is not longer permitted to use words that indicate emotions or feelings such as "know, learn, appreciate, understand, recognize, etc." For a list of actionable words, please reference the "Speaker Information" page on the conference website.

At the end of the session, the participants will be able to:

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* 5. Description: Please provide a summary of your presentation. At the end of your summary please indicate your target audience, for example, "the session will be of value to: Clinical Chemists, Trainees, and other healthcare professionals."

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* 6. Biography: 1-2 paragraphs; upload a document or type your bio in the next question box

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* 7. Biography: 1-2 paragraphs; type your bio here if you did not upload a file in Q6

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* 8. Speaker Photo: Upload your headshot photo

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* 9. The Canadian Society of Clinical Chemists can make my presentation available to individuals who may be interested in accessing it by posting it online on the national association website (Members Only Section) or on the conference app (Conference Attendees Only).

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* 10. Speaker Signature and Date: 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.

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