CAPMR Session Proposal Submission

New Session Proposal Application - 2019 Annual Meeting, Ottawa, ON

Deadline: MONDAY, January 14, 2019

A. Sessions may align with one of the following themes: general PMR, sub-specialty PMR or Canadian practice-related issues.

B. CAPMR does not provide any financial support or reimbursement, and there is no free registration of any kind, for session presenters.

C. At least one presenter in each session must be a member of CAPMR.

D. Standard A/V equipment will be provided (projector, laptop for presentation, clicker, microphones, etc.), excluding laptops for individual participants.

E. Sessions meeting criteria for Royal College Section 3 credits are also solicited.

Question Title

* 1. Title of Session

Question Title

* 2. Learning Track

General PMR

Sub-specialty PMR

Practice-related issues

Comments:

Question Title

* 3. Director

Name, Credentials and Professional Role *

Institution *

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address *

Phone Number *

Question Title

* 4. Co-Director 1

Name, Credentials, and Professional Role

Institution

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

Question Title

* 5. Co-Director 2

Name, Credentials, and Professional Role

Institution

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

Question Title

* 6. Co-Director 3

Name, Credentials, and Professional Role

Institution

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

Question Title

* 7. Co-Director 4

Name, Credentials, and Professional Role

Institution

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number