Form – CE Speaker Presentation Proposal About the SpeakerName* First Last Email* Enter Email Confirm Email Phone*Highest degree held* License, registration or certificate related to topic* Job Title* Employer* Training, certification or experience in teaching subject matter*Years of experience in area related to subject matter*Please enter a number less than or equal to 50.Speaker's resume or vita. Upload PDF please.*Accepted file types: pdf, Max. file size: 256 MB.About the PresentationPresentation Title*(15 word maximum) Session Summary*Please provide a summary of your presentaiton that includes the main areas (at least 3) of content to be covered in your presentation.Measurable ObjectivesPlease list at least three learning objectives that are clearly defined and measurable. Learning objectives should follow the stem: followed by verbs such as demonstrate, articulate, or identify.Learning Objective 1*By completing this session, attendees will be able to … Learning Objective 2*By completing this session, attendees will be able to … Learning Objective 3*By completing this session, attendees will be able to … Responsibility StatementI confirm that this presentation meets the BBS regulations for continuing education.Signed (Speaker/Instructor Name)* CALPCC will not allow a speaker to promote or advocate for a single modality of treatment that is discriminatory or likely to harm clients based upon current accepted standards of practice. BBS regulation 1887.4.3