Become a Speaker Please enable JavaScript in your browser to complete this form. – Step 1 of 6Name *FirstLastStudent IDEmail *Phone *Organization *Job Role *Webinar Title *NextDesignation(s) / Association(s)FCSIPFPCIMCIWMMTIOtherNext In a few sentences, please describe the core of the topic, why it is relevant, and how it will benefit your audience.Next Provide links to any previous speaking engagementsNextWould you like to keep informed about CSI's products and promotions? *YesNoNextCSI Podium Video Policy Statement This signed video compliance form indicates that you have obtained permission to be included in the video shoot done by Canadian Securities Institute (CSI). Via this video you will be featured in various forms of media – including print, online, and out-of-home advertising. Canadian Securities Institute shall have the right to photograph, publish, adapt, exhibit, perform, reproduce, edit, distribute, display or otherwise use your image, voice and/or likeness in connection with any product or service in all markets, media or technology now known or thereafter developed in CSI’s products or services, as long as there is no intent to use the image, voice and/or likeness, and information about you or your employer in a disparaging manner. Canadian Securities Institute is not responsible for the misuse of alterations of any such audio/video or photographs by third parties. I hereby release Canadian Securities Institute and any of its officers and employees from any or all actions, claims, loss or causes of action arising from the use or misuse of such images and videos. You are responsible for taking adequate approvals from your respective compliance teams to attend these sessions as panelists and feature in the video. Association(s) Job you Multiple Choice *I AgreeI DisagreeSubmit