Regulatory Education ProgramOn-line Proposal Submission Form

Regulatory Education Program

On-line Proposal Submission Form

Individuals interested in presenting as part of the new Regulatory Education Program of the College of Naturopaths of Ontario are invited to submit their proposal using this form. Please note, only one topic per submission; however, multiple submissions are encouraged.

About the Person Submitting the Proposal

First Name*

Please enter your first (given) name.

Last name*

Please enter your last (family) name.

Please enter an email address where the College can reach you during regular business hours.

Background*

Please describe your background by selecting one of the following options.

Other Background Details*

Please indicate the details of your background.

Registration Number*

Please provide your registration number with the College of Naturopaths of Ontario

Canadian Naturopathic Regulatory Authority*

Please indicate with which Canadian naturopathic regulatory authority you are registered.

College of Naturopathic Doctors of Alberta

College of Naturopathic Physicians of British Columbia

Manitoba Naturopathic Association

Saskatchewan Association of Naturopathic Practitioners

Regulated Profession*

Please identify with which Ontario regulatory authority you are registered.

Select or enter value

About the Proposal

Topic Other*

Learning Objectives*

Please provide the high level learning objectives for this session.

Number of Presenters*

Please indicate the total number of presenters, including yourself if applicable. If there will be more than three, please indicate so in the comments section at the bottom.

First Proposed Presenter*

Please enter the full name and credentials of the first presenter, e.g. Dr. Jane Doe, ND..

Qualifications of first Presenter*

Please summarize the qualifications of the first presenter.

Second Presenter*

Please enter the full name and credentials of the second presenter, e.g. Dr. Jane Doe, ND.

Qualifications of second Presenter*

Please summarize the qualifications of the second presenter.

Third Presenter*

Please enter the full name and credentials of the third presenter, e.g. Dr. Jane Doe, ND.

Qualifications of third Presenter*

Please summarize the qualifications of the second presenter.

Please upload a current resume for each of the proposed presenters.

Drag and drop files here or

Acceptance of Renumeration*

The College will be remunerating at a rate of $600 per session developed and delivered, regardless of the number of presenters. Selected individual(s) will also receive a stipend of $150 to attend virtual meetings with the College and a technology check in advance of delivery of the session.

Topics that by necessity need to be covered over more than one date will be remunerated based on the number of sessions required. As the program is hosted virtually, no expenses are anticipated to be incurred by individuals delivering the session; however, the College would cover reasonable expenses that might be necessary.

Yes

Comments

Please provide any final comments you wish to provide.

Declarations & Signature

Declaration*

I have reviewed the Request for Proposals for the Regulatory Education Program of the College of Naturopaths of Ontario. I accept all of the parameters set out therein and acknowledge and agree that this proposal shall be valid for 90 days from the date of submission.

I agree

I do not agree

Signature

By checking the box below, you are affixing a signature to this form and indicating that this form and the information contained herein is bound directly to you.

I voluntarily sign this form and affix my digital signature.

Copy of Submission

Below is a check box to enable you to receive a copy of your submission. It is highly recommended that you check this box and enter your e-mail address. This will enable the on-line system to send you a copy of the information that you have provided to the College.

Send me a copy of my responses

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