To promote your role in the upcoming educational activity, the CDA would like to receive from you a short bio and headshot. These items will be posted on the CDA website, and, in part, on social media.

Your name and credentials
Please provide as you would like them to appear (Required.)

Short bio 
Paragraph format (no bulleted text) 
Maximum 300 words(Required.)

Headshot 
Submitted photo must be in one of the following file formats: PNG, JPG, JPEG 
File size should be at least 100KB, and should not exceed 200KB (Required.)

Choose FileNo file chosen

Social media tagging (optional) 
Please provide your social media handle (@YourName) if you would like it included with your promotion