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
      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