Schedule C Chair and Speaker Checklist – Maximum Chair/ Speaker Combination: 1-2 hour sessions (2 people) 1 Chair and 1 Speaker – 3-4 hour sessions (3 people) 1 Chair and 2 Speakers – 5-8 hour sessions (5 people) 1 Chair and 4 speakers – Speaker Providing Permission to First & Last Email Course Notes Disclosure Statement Name Record by May 1, 2016 YES I have nothing to disclose YES Permission to Record or OR NO Permission to NO I have received the Record following: insert funds, See grants, patents, companies correspondence affiliated with NA - no recording YES I have nothing to disclose YES Permission to Record or OR NO Permission to NO I have received the Record following: insert funds, See grants, patents, companies correspondence affiliated with NA - no recording YES I have nothing to disclose YES Permission to Record or OR NO Permission to NO I have received the Record following: insert funds, See grants, patents, companies correspondence affiliated with NA - no recording NOTES to CNSF
Schedule C – Chair and Speaker Checklist Maximum Chair/ Speaker Combination: 1-2 hour sessions (2 people) – 1 Chair and 1 Speaker 3-4 hour sessions (3 people) – 1 Chair and 2 Speakers 5-8 hour sessions (5 people) – 1 Chair and 4 speakers First & Last Name Email Speaker Providing Course Notes by May 1, 2016 Disclosure Statement Permission to Record YES or NO I have nothing to disclose OR I have received the following: insert funds, grants, patents, companies affiliated with YES Permission to Record NO Permission to Record See correspondence NA - no recording YES or NO I have nothing to disclose OR I have received the following: insert funds, grants, patents, companies affiliated with YES Permission to Record NO Permission to Record See correspondence NA - no recording YES or NO I have nothing to disclose OR I have received the following: insert funds, grants, patents, companies affiliated with YES Permission to Record NO Permission to Record See correspondence NA - no recording NOTES to CNSF