Continuing Education Speaker Request Form

Speaker 1

Speaker 2

Speaker 3

Course Information


    • Will there be a course handout?

    • If yes, the handout must be electronically submitted to our office on month prior to your presentation. Please send in the original powerpoint format and we will format into PDF to print in color or black/white (depending on the pictures in your presentation). The PACE Center must approve all handouts and reserve the right to reject any material that does not meet ADA CERP Standards and Guidelines.

    Per ADA CERP Standard IX.8 Policy -references from scientific literature or studies to support the scientific basis of the course content. An assessment of known risks and benefits regarding the techniques/materials discussed in the course. If scientific evidence is limited or uncertain, please provide the level of scientific information that is available; include any known risks and benefits.

    • Will your scientific references be provided in your powerpoint?

Audio Visual

We provide standard audio visual or A/V package which includes a 4:3 standard screen, projector, wireless mic, lectern mic and mixer. We will work with you on other.

Sponsorship 1

Sponsorship 2

Sponsorship 3

Materials For Hands-On / Participation Course
Non-Compete Statement
  • In consideration for the opportunity to present at the School of Dentistry PACE Center, Continuing Education, I agree not to accept other dental related speaking engagements at any accredited state education institution, study club or professional association or society meeting 90 days prior to or after the scheduled date of the presentation with the School of Dentistry PACE Center in the state of Texas.