CSLA speakers’ bureau application form

Applicants for the CSLA Speakers’ Bureau must complete all sections of the application form to ensure that data to be displayed on the Speakers’ Bureau website is consistent.

PLEASE COMPLETE THIS INFORMATION IN ELECTRONIC FORMAT ONLY

step 1 – enter the information below

Name
Address
Phone Number
E-mail Address
Component Organization
Language (bold all that apply)
/ English French Other:
Speaker’s Contact Info
Website:
Facebook:
Twitter:
LinkedIn:
You Tube:

step 2 - select all key subject areas that you would like to be listed under

Please mark with an “X”.

Brownfield Redevelopment / Cultural & Heritage Landscapes
Garden Design / International Practice
Landscape Architecture – General / Landscape Assessment/Visual Analysis
Landscape Management & Restoration / Parks Planning & Design
Resort & Recreational Areas / Sports Fields & Athletic Facilities
Storm Water Management / Streetscapes
Low Impact Development / Sustainability & Innovation
Trails & Transportation / Urban Design
Waterfront Development / Other:
Institutional

step 3 - select the regions where you are interested in speaking

Please mark with an “X”

British Columbia / Northwest Territories
Nunavut / Alberta
Saskatchewan / Manitoba
Ontario / Québec
Newfoundland/Labrador / Nova Scotia
Prince Edward Island / New Brunswick
USA / International

step 4 - provide a description of your speaking interests and expertise

Maximum 300 words. Note that this text will appear on your speaker’s profile.

(step 4 – continued)

step 5 - provide a brief biography

Maximum 200 words. Indicate education, experience, and any other distinguishing features or accomplishments. Note that this text will appear on your speakers’ profile. A sample biography can be viewed at www.csla-aapc.ca/node/997

step 6 - consent

I agree to abide with the CSLA Speakers’ Bureau Program Rules and Procedures, which I have read at the following: (insert link).

I consent to having my information provided in the application form posted on the CSLA Speakers’ Bureau.

Signature Date

step 7 – attach images and e-mail your application

E-mail a maximum of two (2) images in .jpg format with the completed form to . Please indicate Speakers’ Bureau Application in the subject line.

Dedicated to advancing the art, the science and the practice of landscape architecture. P.O. Box / C.P. 13594, Ottawa ON K2K 1X6

Faire avancer l’art, la science et les activités liées à l’architecture de paysage. Tel. / Tél.: 1-866-781-9799

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www.csla-aapc.ca