California Society of Radiologic Technologists 2026 Speaker Interest Form
The following information is required by the ASRT to approve your presentation for Category A/A+ Continuing Education credit. The information will also be used by the CSRT for program marketing purposes. Please note, CSRT does not typically offer travel reimbursement or honorarium for our speakers, however, we are happy to provide complimentary registration for conferences. If you have any questions, please email info@csrt.org
Are you a student Speaker?
Yes
No
Which event(s) are you interested in presenting at?
*
2026 Spring Summit (Virtual) April 11, 2026
2026 Radiation Therapy Conference (Virtual) April 11, 2026
Seminar Series, hosted by the Student Committee
Other
Speaker Name & Designations
*
Please include designations (RT, MS, etc.)
Current employer or institution
*
Email Address
*
Address
*
Cell Phone number
*
Other Phone number
Program Director or Presentation Advisor:
*
All Student Speakers must have an advisor work with them on the presentation.
Email Address of Program Director or Presentation Advisor:
*
Phone Number of Program Director or Presentation Advisor:
*
Upload Resume or C.V.
*
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Upload Headshot for marketing (high resolution)
*
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Add a brief, 300 words or less, biography for event marketing if selected as a speaker. (if you need to attach separately, please upload the document in the last section)
*
Presentation Information
Subject to review and approval. CSRT may suggest minor adjustments to the title provided. Students can select to present on one of the three following topics: radiation protection, fluoroscopy, or digital imaging.
Presentation Title
*
Presentation Learning Objectives (minimum 3)
*
Presentation Outline or Description (if you need to attach separately please upload in next section)
*
If you need more space please upload Bio, Presentation Outline or Description here
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