Submit webinar - DTStudyClub

Webinar title *

Please provide the title of the webinar as you would like it to appear on the website and marketing materials.

Contact

Your details

Please fill in your contact information below. A link to the webinar will be provided using these contact details. You may also be contacted if any clarification or additional information is needed.

Your Name *

Your company name *

Your email address *

Your phone number *

Other Contacts

If you want to CC other people besides yourself in the emails we send the speakers, please add them below

	Name	Email
1

Add Contact

Webinar

Webinar type

Please select the type of the webinar, standard webinar or symposium webinar.

Standard webinar
Symposium webinar
On-demand webinar

Pre Recording *

In order to reduce the potential issues with live webinars, we suggest pre-recording the lecture part of the live webinar. The speaker will still join live at the end of the webinar for the Q&A where he will answer the questions from the audience.

Recorded by DTI during the technical test (recommended)
Recorded by host
The webinar will be LIVE, no pre-recording needed

Recording link

Webinar short description *

Please provide a short description for the webinar up to 300 characters.

Webinar long description *

Please provide a detailed description for the webinar by overwriting the template content in the box below. Please also include the learning objectives as shown by the box below.

Webinar language *

Please select the language.

Webinar duration *

Please specify the duration (in hours)

Webinar categories *

Up to five categories can be selected.

Start date *

Please confirm the time and indicate whether AM or PM.

Time zone *

Please select the proper time zone the live webinar will be conducted in.

CE credits *

one CE for each hour.

CE quiz *

I do not have the quiz yet. I will be sure to send it at least two days prior to the webinar going live.
I have the quiz and will provide it now.

Speaker

Select speaker(s)

Please select the speaker(s) for the webinar from the field below by clicking on the field and then typing the speaker's name to filter the results. if you are unable to find the speaker(s) in our system, please provide their details using the fields below.

Were you able to select all the required speakers for the webinar in the field above?

Yes, I was able to select the speaker(s) for the webinar in the field above.
No, I was not able to find all the speaker(s) for the webinar in the field above, I want to add one or more speakers manually.

Manually add your speaker(s)

1	Title First Name * Last Name * Credentials Speaker Picture * Please make sure to upload a high resolution photo (at least 1000x1000 pixels) Biography
1	Title First Name * Last Name * Credentials Speaker Picture * Please make sure to upload a high resolution photo (at least 1000x1000 pixels) Biography

Add Another Speaker

Speakers contact details for training sessions

For each and every speaker selected above please provide the email address and phone number. Our technical team will contact them using the information provided to provide technical details on the upcoming webinar and schedule the training sessions.

	Name *	Email *	Phone number *
1
1

Add another

CE quiz

Quiz

Please add the CE quz in the form below. At least three multiple choice questions are necessary.

Question

Please add the CE Quiz questions here.

Answers

Please add the answers here and be sure to select the correct response (yes or no). Multiple answers can be submitted.

1

	Answer	Correct
1		YesNo
2		YesNo
1		YesNo

Add answer

2

	Answer	Correct
1		YesNo
2		YesNo
1		YesNo

Add answer

3

	Answer	Correct
1		YesNo
2		YesNo
1		YesNo

Add answer

1

	Answer	Correct
1		YesNo
2		YesNo
1		YesNo

Add answer

Add question

Additional information

Downloadable resources

You can provide the users with access to downloadable resources, such as case studies, articles or even videos. Please upload the file(s) in the fields below:

	File name	File
1		File name: File size:

Add new download

Additional links

You can add additional links to provide further information on the topic being presented. Please paste in the field(s) below:

	Link title	URL
1

Add link

CE Disclosure

Declaration form for CE Activity:

In order to adhere to policies of ADA CERP and to provide CE credits to dentists, the speaker has to identify the presence OR absence of any financial relationship with the sponsor.
Please check one box below to disclose relevant financial or non-financial relationships:

CE Disclosure *

The speaker/s has/have a financial relationship with our company - He/She is a paid/sponsored consultant
The speaker/s has/have no financial support from our company - He/she has no financial interests to disclose

Downloads

Please download the following PDFs and send it to this email address: support@dtstudyclub.com
Both documents need to be filled in by (each) speaker in order to adhere ADA CERP policies:
Conflict of Interest
Affidavit of Image Authenticity

Please note:
Any relevant financial relationships that the speakers may have, has to be clearly communicated to participants through:
– Verbal mention at the start of a lecture/presentation
– Opening slide from each speaker

Notes

Sponsor

Please select the sponsor(s) from the list below

Could not find a company?

Could not find the required company in the list above? Please use the form below to add one or multiple sponsors for this webinar.

Manually add sponsors

If you have a sponsor(s), please add the company details in the fields below:

	Company name	Logo	Company website
1

Add Sponsor

SEO

Title

around 40-60 characters

Description

around 70-130 characters

Keywords

5-10 relevant keywords separated by comma ","

Validate Email

Webinar Submission Form

Thank you for hosting a webinar with us!
In order to submit your webinar details, please have the following mandatory items prepared:

Don't miss any news from the dental world! The latest topics in dentistry

Webinar Submission Form

Thank you for hosting a webinar with us!In order to submit your webinar details, please have the following mandatory items prepared:

Don't miss any news from the dental world! The latest topics in dentistry

Thank you for hosting a webinar with us!
In order to submit your webinar details, please have the following mandatory items prepared: