FACULTY REQUIREMENT FORM for CLINICAL UPDATE 2017
This form may be submitted incomplete and revisited, however please select the submit button on page 4 with every submission.

AUDIO-VISUAL REQUIREMENTS AND BIOGRAPHY

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* 1. Name:

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* 2. All rooms will be equipped with a wide format screen (16x9), projector, wired podium microphone and laptop. Do you require additional AV requirements?

Yes

No

If yes, specify:

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* 3. Would you be interested in utilizing ARS (audience response system) for your presentation?
Please note that if you would like to utilize this technology your final presentation will need to be shared November 15 and onsite changes to your presentation might not be possible.

Yes

No

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* 4. A short biography (5-6 sentences) is required for introduction to your session. If you have not already sent your biography via email (to lindsey.clark@heartandstroke.ca), please enter it here: