Presenter Recording Permission Form
Synopsis (short description of presentation):
If presentation has already been recorded please include the URL to the file (if available)
Presenter Demographic Information
Name (include degrees, etc):
Allow viewers to contact me via email regarding the content of my presentation:
Please be sure that you have submitted your Conflict of Interest and Disclosure Forms.
Presentation Requirements - Please indicate the item(s) you will be utilizing in your presentation.
I want my lecture and content delivered over the Internet as it is being presented (when possible) and stored for future viewing
I want my lecture content stored for future viewing but NOT streamed live
If you have collateral materials:
Have someone contact me regarding collateral materials or other needs
Post-test Questions (with answer key):
Should be Empty: