Continuing Education Course Speaker Biographical, Copyright, and Licensing Submission Form



Speaker Information






Please upload a portrait-style photograph of yourself in jpeg format at a high resolution (minimum 300 dpi resolution). The photo (head and shoulders) needs to be of appropriate quality. If the headshot portion of the photo, when sized to 3 x 5 inches, looks fuzzy, it cannot be used. It works best to upload the image as originally taken (not cropped or modified).





Brief Biographical Information (please limit to 150 words)


Copyright Release Statement
I will not have any copyrighted material or information in my presentation.
I will have copyrighted material or information in my presentation.

Please upload any licensing forms or copyright releases related to this submission. Alternatively, you may email your releases to Kevin Merritt at kevin@toxicology.org as they become available.




SOT Licensing Agreement

The Author hereby grants to the Society of Toxicology ("SOT") the nonexclusive worldwide right and license to reproduce, copy, electronically store, publish, distribute, and, if a charge will be associated with the use of the materials, sell the materials identified below, wholly or in part, throughout the world, including translations in all formats and media of expression now known or later developed, including electronic, for noncommercial use. While the author licenses the use of his or her work to SOT and retains copyright to that material, SOT retains copyright for any course, publication, webinar, or any other larger work of which this contribution may be a part, in the entirety of the larger work.

The Author hereby represents and warrants that: 1) he or she either owns and holds the copyright to the materials or would to the best of his or her knowledge and belief be entitled to copyright protection were an application to be submitted; 2) he or she has the authority to grant this nonexclusive license; 3) SOT's exercise of its rights hereunder will not infringe upon any other person's or entity's copyrights or other proprietary rights; 4) SOT may use his/her name, photo, or likeness in connection with promoting or advertising the work and any adaptation thereof.

SOT agrees to give the Author appropriate credit in all reproductions, copies, and publications of these materials.

For Authors who are US government employees, this agreement applies only to the extent to which the Author has rights to grant permission.


To proceed with this submission, confirm your acceptance of the licensing agreement.
I request SOT staff assistance with this step.


Submittor's Licensing Exclusions: (Optional)


SOT Code of Ethics Agreements
  1. I have read the SOT Code of Ethics and agree with all of the conditions listed within that document.
  2. I acknowledge that all animal experimentation has been carried out in accordance with the Society's criteria for the care and use of animals in research.
  3. I acknowledge that IRB protocol for human testing has been followed and approval obtained.

By checking this box, I indicate my agreement with statements 1–3 above.



SOT is collecting this information because of your participation in the SOT Annual Meeting as a Continuing Education Course presenter. SOT will maintain your licensing agreement and any submitted copyright permissions and information as long as applicable to comply with standard best practices.