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Australian and New Zealand
College of Veterinary Scientists
Vet Science Week - Speaker Information
Chapter Science Week Convenors - please use this form to record individual Science Week speaker details.
A copy will be sent to the Chapter Treasurer, the College Office, the Conference Organisers and yourself.
We will use the details provided to contact the Speaker to confirm and supply important information relating to Science week.
If you notice any errors in the details provided, please contact the College Office immediately.
Chapter / Stream
(Required)
Animal Reproduction
Animal Welfare
Aquatic Animal Health
Avian Health
Cattle
Dermatology
Emergency and Critical Care
Epidemiology
Equine
Feline
Medicine and Management of Laboratory Animals
Ophthalmology
Pathobiology
Pig Health and Production
Radiology
Small Animal Medicine
Small Ruminant
Surgery
Unusual Pets
Veterinary Anaesthesia and Analgesia
Veterinary Behaviour
Veterinary Dentistry
Veterinary Oncology
Veterinary Pharmacology
Veterinary Practice Small Animal
Veterinary Public Health
Veterinary Sports Medicine and Rehabilitation
Zoo and Wildlife
Speaker Name
(Required)
First name
Surname
Speaker Email Address
(Required)
Speaker Contact number
Is this a keynote speaker for your Chapter?
(Required)
Yes
No
Presentation details
If this speaker is presenting more than one lecture, use the + icon to add a new line.
Please ensure to complete the respective duration and speaker fee for each presentation.
Speaker fee categories:
1. Gratis: Speaker has agreed to speak at
no
charge to the Chapter
2. Standard: AU$350.00
3. Keynote: AU$750.00
4. Custom: Chapter has agreed a special fee with speaker.
5. Panel session: AU$125.00
Speaker presentation details
(Required)
Title of Presentation (e.g., Managing bees in flood or fire emergencies.)
Presentation duration (e.g., 1 hour)
Speaker Fee (e.g., $350.00)
Add
Remove
Is this speaker presenting a joint lecture with another Chapter/Stream?
(Required)
Yes
No
If yes, please provide the Title of Presentation and Chapter the joint lecture applies to.
Title
Chapter
Add
Remove
i.e., Managing bees in flood or fire emergencies | Entomology Chapter
Is the Chapter contributing towards this speaker's accommodation?
(Required)
Yes
No
Accommodation contribution
If a set/max amount, enter $ amount. (i.e., $300.00). Alternatively, enter how many nights and inclusions (i.e., 2 nights - Room only. Or: 1 night - Bed and breakfast)
Is the Chapter contributing towards this speaker's travel?
(Required)
Yes
No
Travel contribution
If a set/max amount, enter $ amount.
Is the Chapter contributing towards any other speaker expenses?
(Required)
Yes
No
If yes, select what expenses.
Meals
Sundries
Other
Enter amount allocated to this Speaker's expenses.
Are there any other special considerations the Chapter has discussed with the Speaker? Use the box below to provide any additional information.
Notes/Comments:
Upload supporting documents (if required)
Max. file size: 128 MB.
Science Week Convenor details
Form completed by
(Required)
First Name
Surname
SW Convenor Email
(Required)
Hidden
Date submitted
DD slash MM slash YYYY
