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2020 CCMG Speaker Information Form

1.Session Title(Required.)
2.Speaker (enter position and organization as you would like them listed in the program)(Required.)
3.Audio-Visual Equipment
A computer and data projector will be provided. Please specify any additional equipment required:
4.Educational Objectives: Please 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 no 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:(Required.)
5.Please select the CanMeds Roles relevant to this session.
6.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: Fellows, Clinical Geneticists, Medical Geneticists.”
7.Would you be willing to present this session as an MOC Section 3 event?
8.Biography: Please provide a short bio (1-2 paragraphs).  Email your photo to info@ccmg-ccgm.org at the completion of this form.
9.The Conference can make my presentation available to individuals who may be interested in accessing it by posting it on their national association website.
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.
(Required.)