leads framework | leads collaborative - home page · created date: 4/4/2017 2:29:01 pm

CANADIAN COLLEGE OF HEALTH LEADERS Learni ng, Leadi ng, I n spi ri ng COLLEGE CANADIEN DES LEADERS EN SANTE Apprendre, mener, inspirer Presenter/Webinar Letter of Agreement Contact lnformation Name: Stevie Colvin Title: Ma nager, Orga nizationa I Effectiveness & Development Organization: Alberta Health Services Address: 10030 * 107 Street NW, Edmonton, AB T5J 3E4 Telephone: 780-246-8103 Fax: E-mail : [email protected] Event/presentation Details CCHL / CHLNet: CHLNeI/LEADS Collaborative Webinar - Creating Learning that Sticks Session Date: April t9,2Ot7 Session Time: 12pm EDT Broadcasting Consent V I hereby authorize the Canadian College of Health Leaders, its chapters, its designees, licensees and assignees; to audio and/or video broadcast this leadership session via webinar n I do not authorize the audio and/or video broadcasting of this leadership session Recording Consent The Chopter or national office willvideo and oudio record the session for archiving ond distribution on the College's Professionol Development LibrarV PDL). ff I nereAy authorize the Canadian College of Health Leaders, its chapters, its designees, licensees and assignees; to audio and/or video record this leadership session. n I do not authorize the audio andlor video recording of this leadership session. Address/odresse :292, rue Somerset St. West/Ouest, Clttawa, ON K2P oJ6 Te!/tdt. :613.215-72!8 Tolt Fte./sonsr?ois : 1.800.363.9056

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Page 1: LEADS Framework | LEADS Collaborative - Home Page · Created Date: 4/4/2017 2:29:01 PM

CANADIAN COLLEGE OFHEALTH LEADERS

Learni ng, Leadi ng, I n spi ri ng

COLLEGE CANADIEN DESLEADERS EN SANTE

Apprendre, mener, inspirer

Presenter/Webinar Letter of Agreement

Contact lnformation

Name: Stevie Colvin

Title: Ma nager, Orga nizationa I Effectiveness & DevelopmentOrganization: Alberta Health Services

Address: 10030 * 107 Street NW, Edmonton, AB T5J 3E4

Telephone: 780-246-8103

Fax:

E-mail : [email protected]

Event/presentation Details

CCHL / CHLNet: CHLNeI/LEADS Collaborative Webinar - Creating Learning that Sticks

Session Date: April t9,2Ot7Session Time: 12pm EDT

Broadcasting Consent

V I hereby authorize the Canadian College of Health Leaders, its chapters, its designees, licensees andassignees; to audio and/or video broadcast this leadership session via webinar

n I do not authorize the audio and/or video broadcasting of this leadership session

Recording Consent

The Chopter or national office willvideo and oudio record the session for archiving ond distribution onthe College's Professionol Development LibrarV PDL).

ff I nereAy authorize the Canadian College of Health Leaders, its chapters, its designees, licensees andassignees; to audio and/or video record this leadership session.

n I do not authorize the audio andlor video recording of this leadership session.

Address/odresse :292, rue Somerset St. West/Ouest, Clttawa, ON K2P oJ6 Te!/tdt. :613.215-72!8 Tolt Fte./sonsr?ois : 1.800.363.9056

Page 2: LEADS Framework | LEADS Collaborative - Home Page · Created Date: 4/4/2017 2:29:01 PM

Internet Postlng Consent

Please indicate below, your approval for the College to post your session on its PDL.Ihis session ond itspresentation documents will be available to registered users on the PDL at a cost determined by theCollege ond its chopters.

f, I gru. permission to post my presentation documents (i.e.: agenda, charts, PowerPoint

Presentation, etc.)on the PSL.

n I do not give permission to post my presentation documents (i.e.: agenda, charts, PowerPoint

Presentation, etc.) on the PDL.

ff I give permission to post the audio and/or video recorded session for purchase on the PDL.

f] f ao not give permission to post to audio and/or video recorded session for purchase on the PDL.

I agree to participate in the Canadian College of Health Leaders' Professional Development Library as

described above.

signature: -a (r( oate: d{tt,,-!-- 4, p o t -7

Please return this signed document to:Canadian College of Health Leaders - Aftn: Amy O'Brien

292 Somerset Street West

Ottawa, ON KzP OJ6

Tel: 1-8OO-363-9056 or 613-235-72L8 ext.26Fax: 613-235-5451 / Email: [email protected]

Address/odresse:292, rue Somerset St. wesVouest, Ottawa, ON K2P 016 T.l/tdl. | 6LE.Z3S.72L8 Tol! Free/sans frais: [email protected]!t!- F *-rrt--..--t-a_t,

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