Speaker Form Step 1 of 3 33% Speaker InformationName* First Last Title*Organization*Address* City State / Province / Region AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Email* Phone* Please click here to confirm you receive text messages at the number listed above. Biography*Biography not to exceed 1,000 characters.Presenter Headshot*MINIMUM 1000px X 1000pxAccepted file types: jpg, jpeg, png, pdf.Sample VideoInclude a link to a sample of your presentation or a previous presentation. Save and Continue Later Session InformationCategory*Association & MembershipsBusiness & FinanceFuture of the Industry / Industry TrendsGrowingLegal & LegislationMarketing & BrandingMedicinal Uses & ResearchProcessingRetail/DispensarySustainabilityTechnologiesWholesale / DistributionSession Title*Presentation Description*If selected, the description listed below will be included on the mobile app and website to promote your presentation to attendees. Presentation not to exceed 250 characters.Presentation Objective*Presentation objective not to exceed 250 characters.Social Media LinksAdditional InfoHave you given, or will you be giving, this presentation at another educational conference?YesNoIf so, when & where? Save and Continue Later Section BreakEach submitter is required to provide information about pertinent financial relationships and non-financial relationships, or lack thereof. Please click here for the definition of financial and non-financial relationships. Financial relationships are relationships through which the presenter benefits by receiving a salary, royalty, intellectual property rights, gift, speaking fee, consulting fee, honorarium, ownership interest (e.g., stocks, stock options, or other ownership interest, excluding diversified mutual funds), or other financial benefit. Financial relationships can also include "contracted research" in which the institution obtains the grant and manages the funds and the individual serves as the principal or named investigator. Non-financial relationships are those relationships—including personal, professional, political, institutional, religious, or other—that might bias an individual. For example: •Personal—the individual has a friend in the company whose products the presenter is discussing; the individual has a family member or friend with a disorder covered by the course presented. •Professional—the presenter belongs to an association or group whose services are discussed in the presentation; the presenter has a professional bias about a way to deliver a particular service; he or she is employed by or serves in a leadership role. •Political—the presenter is biased about a topic (e.g., health care reform), and that bias reflected the position of a particular political party on the issue. •Institutional—the presenter is affiliated with an institution or organization (e.g., serves on a committee or board of that organization); the presenter belongs to and/or financially supports the organization's causes. •Religious—a bias that is based on religious tenets (e.g., the presenter is biased in favor of service delivery at end of life based on his or her religious beliefs). Seminar SchedulingSeminars are scheduled to run each day of the Cannabis Collaborative Conference, February 15th & 16th, 2017. Sessions begin each day with a Keynote Address at 9:00 AM and the last session of the day begins at 4:00 PM. Sessions with selected proposals will be scheduled for plenary or symposia sessions, panel or roundtable discussions, or workshops. All presentations must be prepared for audience question and answer. Presenters are required to arrive a minimum of 30 minutes prior to their scheduled session. I agree to notify Cannabis Collaborative Conference show management immediately in the event that an emergency should prevent me from meeting my obligation as a speaker.Schedule RestrictionsPlease let us know if you are unable to speak at any time during the CCC.Affirmation of CommitmentI provide consent for Cannabis Collaborative Conference show management to record my presentation in audio and/or visual form. I understand that Cannabis Collaborative Conference show management will be the sole copyright owner of the recording and can distribute and sell it, along with any supporting materials. Upon request, Cannabis Collaborative Conference show management will provide me with one complimentary copy of the recording, however, I agree not to sell, distribute, stream over the Web, or otherwise use the recording in any way other than for my personal, archival use, except with the prior written consent of Cannabis Collaborative Conference show management. During my presentation, I will not engage in any type of promotional marketing or selling of any product or service, and I will not disparage Cannabis Collaborative Conference in any way.Terms*You will receive important deadlines and important details regarding your session upon acceptance. If your session is not accepted for CCC 2017, your information will be held on file for future events. By checking this box, you agree to all listed above and to the terms of the agreement HERE. Art Thou A Robot? Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms.