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