SPEAKERS REGISTRATION FORM
In order to report your hours accurately and to receive confirmation from the University, please be sure that your address is current and can be used as the standard USPS format. Please refrain from using all caps when filling out the form.
Please do not use autofill when completing the form
We are always looking for great speakers to present at our seminars
If you are interested in presenting at one of our upcoming seminars we need you to fill out the short registration form giving us your basic information or if you prefer you can send your CV and the outline of your lecture to us at firstname.lastname@example.org with the requirements listed below
Please note that as a non profit organisation we do not at the moment cover expenses of our speakers. All of our speakers donate their time and cover their own flights and hotel rooms as necessary. Which we greatly appreciate.
CV has to be professional, worthy to send to state boards, and be proud of, it has to be only ONE PAGE long and should consist of the following only:
Contact Information INCLUDING current Licensure,
Clinical or Teaching Experience
Please omit: Photographs, Hobbies and any personal information. We are unable to accept biographies. Please also include a scan/picture of your license.