CSLA speakers’ bureau application form
Applicants for the CSLA Speakers’ Bureau must complete all sections of the application form to ensure that data to be
displayed on the Speakers’ Bureau website is consistent.
PLEASE COMPLETE THIS INFORMATION IN ELECTRONIC FORMAT ONLY
step 1 – enter the information below
Name
Address
Phone Number
E-mail Address
Component Organization
Language (bold all that apply)
English
French
Other:
Speaker’s Contact Info
Website:
Facebook:
Twitter:
LinkedIn:
You Tube:
Dedicated to advancing the art, the science and the practice of landscape architecture.
Faire avancer l’art, la science et les activités liées à l’architecture de paysage.
P.O. Box / C.P. 13594, Ottawa ON K2K 1X6
Tel. / Tél.: 1-866-781-9799
executive-director@csla-aapc.ca /
www.csla-aapc.ca
step 2 - select all key subject areas that you would like to be listed under
Please mark with an “X”.
Brownfield Redevelopment
Garden Design
Landscape Architecture – General
Landscape Management & Restoration
Resort & Recreational Areas
Storm Water Management
Low Impact Development
Trails & Transportation
Waterfront Development
Institutional
Cultural & Heritage Landscapes
International Practice
Landscape Assessment/Visual Analysis
Parks Planning & Design
Sports Fields & Athletic Facilities
Streetscapes
Sustainability & Innovation
Urban Design
Other:
step 3 - select the regions where you are interested in speaking
Please mark with an “X”
British Columbia
Nunavut
Saskatchewan
Ontario
Newfoundland/Labrador
Prince Edward Island
USA
Northwest Territories
Alberta
Manitoba
Québec
Nova Scotia
New Brunswick
International
step 4 - provide a description of your speaking interests and expertise, including a list of
previous speaking engagements
Maximum 300 words. Note that this text will appear on your speaker’s profile.
Dedicated to advancing the art, the science and the practice of landscape architecture.
Faire avancer l’art, la science et les activités liées à l’architecture de paysage.
P.O. Box / C.P. 13594, Ottawa ON K2K 1X6
Tel. / Tél.: 1-866-781-9799
executive-director@csla-aapc.ca /
www.csla-aapc.ca
step 5 - provide a brief biography
Maximum 200 words. Indicate education, experience, and any other distinguishing features or accomplishments. Note that
this text will appear on your speakers’ profile. A sample biography can be viewed at www.csla-aapc.ca/node/997
Dedicated to advancing the art, the science and the practice of landscape architecture.
Faire avancer l’art, la science et les activités liées à l’architecture de paysage.
P.O. Box / C.P. 13594, Ottawa ON K2K 1X6
Tel. / Tél.: 1-866-781-9799
executive-director@csla-aapc.ca /
www.csla-aapc.ca
step 6 - consent
I agree to abide with the CSLA Speakers’ Bureau Program Rules and Procedures, which I have read at the following:
http://www.csla-aapc.ca/resources/general-operating-principles and http://www.csla-aapc.ca/resources/speakersguidelines and act in accordance with the CSLA’s Code of Ethics.
I consent to having my information provided in the application form posted on the CSLA Speakers’ Bureau.
Signature
Date
step 7 – attach images and e-mail your application
E-mail a maximum of two (2) images in .jpg format with the completed form to executive-director@csla-aapc.ca. Please
indicate Speakers’ Bureau Application in the subject line.
Dedicated to advancing the art, the science and the practice of landscape architecture.
Faire avancer l’art, la science et les activités liées à l’architecture de paysage.
P.O. Box / C.P. 13594, Ottawa ON K2K 1X6
Tel. / Tél.: 1-866-781-9799
executive-director@csla-aapc.ca /
www.csla-aapc.ca