Speaker Request

Date of Proposed Presentation:

Time of Proposed Presentation:

Name of Group/Organization:

Purpose of Group/Organization:

Location of Event:

Presentation Length:
 30min 60min

Estimated Time for Q & A:

Approximate Size of Expected Audience:

Equipment Available:
 Microphone Computer Speakers Screen Podium

*Select a Topic:
 1. KCS Client Stories 2. A Vision for the Future of Dementia Care 3. Basic Concepts in Dementia Cognitive Care 4. Basic Tools in Dementia Cognitive Care 5. Using Life Story in Dementia Cognitive Care 6. The Advantages of One-on-One Dementia Cognitive Care 7. Building a Client’s Self Esteem in Dementia Cognitive Care 8. Adjusting Activities to Clients Abilities and Interests in Dementia Cognitive Care 9. Other mutually agreeable topic

*Your Name and Title:

*Your Email: