Public Safety Expert Speaker Interview Submission
Please take a moment to complete this form providing an overview of your suggested interview subject/topic.
Conduct a “Save as” of this form providing it with a unique name reflective of the content, and when complete, email to kwennekes@cata.ca.
Primary Contact
Provide contact information for the lead/coordinating speaker.
Name:
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Title:
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Organization: Click or tap here to enter text.
Email:
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Telephone:
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Interview Summary
Please provide a title and brief 1-2 paragraph description of the proposed broadcast.
Title
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Description
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How much time will be required?
☐ Less than 10 minutes
Speaker Submission Form
☐ Between 10-30 minutes
☐ Between 30-45 minutes
☐ 1 hour
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Please identify the recommended speakers.
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Same as primary contact
AND/OR
Name
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Title
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Organization
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Email
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Which of the following categories will the broadcast cover (select all that apply):
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Case Study
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Private-Public Partnership Opportunity
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Cybercrime
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Procurement Opportunity
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Cybersecurity
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Product/Service Showcase
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Cyberterrorism
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Public Safety Broadband Network
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Policy/Regulatory/Advocacy Recommendations
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Public Safety Related Research Results
Will there be multimedia content shared with the audience i.e. PowerPoint, video, websites?
☐ Yes
☐ No
☐ Uncertain
Is there a specific date or timeframe in which this broadcast would best serve a strategic purpose? Choose a specific date or indicate a
timeframe.
Specific date:
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Timeframe:
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Speaker Submission Form
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