On behalf of the CAMSS Board, thank you for your interest in speaking at our educational forum.

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* 1. Title of Presentation (This will be used in marketing/brochures):

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* 2. Target Audience:

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* 3. Objectives (at least 3 required; will be used to apply for CEU's):

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* 4. Session Description (75 words or less) (This will be used in marketing/brochures to describe your program & to apply for CEU’s):

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* 5. Primary Speaker Information

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* 6. Additional Speakers?

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