Full Name(Required)

First

Organization

Email(Required)

Phone Number (Optional)

Organization / Affiliation (if any)

Researchers and academicsFrontline personnelAssociationOrganizational leaders and administratorsHealthcare professionals specializing in mental healthDisability case managers and rehabilitation providersInsurers and policy makersOther

Workshop Details

Proposed Workshop Title(Required)

Brief Workshop Description (100–150 words) (What is the topic? What will participants learn or experience?)(Required)

At which conference(s) are you interested in speaking(Required)

(Check all that apply)

Alberta 2025

Ontario 2026

Atlantic Canada 2026

Speaker Background

Brief Bio (50-100 words) (Include any relevant experience, qualifications, or lived expertise.)(Required)

Have you presented at a prior FRMH conference?(Required)

Yes

No

Have you presented at conferences or workshops before?(Required)

Yes

No

If yes, which one(s):

Why would you like to speak at this conference?(Required)

Additional Info

Do you have any accessibility needs or requests?(Required)

Yes

No

If yes, please describe

Would you like to attach a CV or Supporting Materials (if applicable):(Required)

Yes

No

File

Max. file size: 200 MB.