If you have questions, please send an email to unclcn@unc.edu or call (919) 445-1000.

This Agreement is made between the UNC Lineberger Cancer Network (UNCLCN) and the presenter.

I. Engagement

The speaker will present a webinar for UNCLCN NC Community College Oncology series.

Please provide several preferred dates and times for recording the webinar:

Recording must be completed before December 15.

Location: UNCLCN Recording Studio (Rooms CM210 and CM167, Manning floor of NC Basnight Cancer Hospital) or connecting via Zoom. When possible, we prefer to host presenters in the studio to ensure optimal production quality.

Would you prefer to present in our studio or remotely from any location by using Zoom?

Remote using ZoomIn the UNCLCN studioPlease talk to me, and we'll decide later

II. Terms of Cancellation

Before cancelling, the speaker agrees to inform UNCLCN (45) days or more prior to the scheduled engagement date. The speaker also agrees to provide the names of alternative speakers to present on the same or a related topic.

III. Speaker Contact Information

We need the following information to communicate with the speaker during the webinar planning process. Please add information and make any corrections below.

Presenter

First Name

Last Name

Credentials

Professional Title

Employer or Organization

Other

Contact Information

We have found it useful to have the speaker’s cell phone number to help solve technical issues before the webinar.

Cell Phone:

Preferred email for webinar planning

Address

Mailing Street

Campus Box:

Mailing City

Mailing State/Province

Mailing Zip/Postal Code

Administrative Support

If you have someone who acts in an administrative support role for you, please list details here.

Contact Name:

Contact Phone:

Contact Email:

IV. Presentation Information

NC Community College Oncology webinars are designed for students enrolled in health sciences programs and the community colleges across the state of North Carolina. These webinars provide opportunities for students to become more familiar with strategies necessary for caring for cancer patients with the goal of improving cancer care and elevating interest in and awareness of oncology-related professions.

I understand that my audience will be first and second year community college students.

Please provide me with more information on my audience.

V. Video Agreements

Video Agreement

Do you agree to appear on camera?

Yes

Are you a UNC School of Medicine employee?

YesNo

Recording Release

Permission to Record and Reproduce - I hereby grant the University of North Carolina at Chapel Hill, School of Medicine, and Office of Information Systems (collectively “the University of North Carolina”), a non-exclusive right to record, using any medium (including, but not limited to, lecture capture, videography, or photography), reproduce, publish, and otherwise make available, my image, including my name, likeness, voice or any combination thereof; and my presentation materials (Materials) and recordings of Materials; including distribution of those recordings and Materials by any tangible or digital media (e.g. print, DVD, memory card, external storage device), or over the internet.

Retention of Copyright by Presenter - I understand that this grant to the University of North Carolina will not alter ownership rights of the Materials in accordance with U.S. Copyright Code, and that I will retain the right to use all or part of the Materials in future works, such as books and lectures. I represent that use of Materials is not in conflict with or in violation of any previously issued permissions or copyrights or is not otherwise illegal. The University of North Carolina will not be held responsible and will not provide any form of legal or financial support if these Materials are in violation of any previously issued permissions or copyrights or used in an illegal.

I understand and consentI do not consent, I do not wish to participate

YouTube

The webinar is recorded and made available in the UNCLCN Online Video Library. Note: Our YouTube Channel does NOT permit comments or rankings.

Do you agree to have a recording of your webinar included in our UNCLCN Youtube Collection?

Yes

VI. Presentation File and Handout

Presentation File

The complete slide deck (PowerPoint or Keynote only) is required by the date provided in emails to prepare for the webinar. The following items are also needed:

• 3 or more slides with polling questions

• Provide prior notice of adding any videos or audio files and include copyright attribution

Do you agree to include the polling questions and to work with UNCLCN to track down original media in order to provide a link and preserve copyright attribution?

Yes

Webinar Handout

Do you agree to have your presentation slides available in a participant handout?

Yes

VIII. Fifteen Minute Pre-Webinar Meeting and Scheduled Time Off

We will schedule a 15 minute meeting with you approximately 1-2 weeks prior to the recording the webinar to review the logistics and webinar content.

Do you have any scheduled time off (such as a vacation) in the two months before your preferred recording dates? If "yes," please share the dates with us so that we can adjust our due dates.

YesNo

Please share the dates with us so that we can adjust our material due dates if necessary.

IX. Approval of Assessment for Enduring Materials (Self-Paced, Online Courses)

A video recording of the webinar will be made available as enduring materials in our Learning Portal. We will need your feedback on a 10-question assessment after recording the webinar.

Acceptance

Please sign and date below and click the button "Submit."

Signature

Date

Newsletter	NC Community College Oncology	General Participation
CME Credit	NCPD/CNE Credit	ACPE Credit
ASRT Credit	CTR Credit

Presenter Agreement — Community College Oncology