Speaker Request Form

Do you like the CRTO to come and speak at your facility? Submit a request by filling out the form below and we will be in contact with you.

    * denotes required

    • Last Name *

    • First Name *

    • Organization *

    • City

    • Work Phone *

    • Email *

    • Presentation Information:

    • Requested Date *

    • Requested Time *

    • I am interested in the following presentation topic(s) (check all that apply):

    • The Role of the CRTO / CRTO Update

      GROW

      PORTfolio Workshops

      Scope of Practice

      Professional Ethics

      Standards of Professional Practice

      Registration Requirements and Process

      Quality Assurance Program

      Members Responsibilities as Educators

      The RT in an Interprofessional Model of Care

      Authorizing Mechanisms (e.g., medical directives)

      Relevant Legislation, Regulations and Regulatory Requirements (e.g., liability insurance)

      Members Responsibilities as Educators

    • Other Topic(s)

    • Length of Presentation (in minutes)

    • Anticipated Audience

    • RTs Only

      Multidisciplinary