Quarterly CE Application Form

Please provide a brief biography or description of yourself. This will be used to introduce you as the speaker.
Click or drag a file to this area to upload.
Please upload your photo to be used on the conference website and platform.
Short Description for handouts and brochure
Recommend at least 2-3 measurable objectives. For example, "By the end of this course, participants will be able to identify/describe/list..."
You may select more than one.
In lieu of printed handouts, all handout materials will be emailed attendees to download in advance of the presentation.
We will do our best to accommodate your availability
If there is other information you would like OTAO Conference Committee to know, please type here.

FOR MORE INFORMATION:

Occupational Therapy Association of Oregon
Phone: (971)266-4328 
Email: info@otao.com