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Add Speaker and Session Information

Speaker Information

First Name *
Last Name *
Title
Organization
E-Mail *
Speaker Website
Additional Website

Speaker Address

Address
City
State
Zip Code

Speaker Social Media Profiles

Facebook
Enter full URL to profile
Linkedin
Enter full URL to profile
YouTube
Enter full URL to profile

Speaker Description/Bio

In paragraph format of 120 words or less. Please begin the first sentence of with the speaker's name.

Session Information

Session Title *
Note: Title may be changed at a later time if needed
Session Topic *
Amount of time devoted to Ethics *
(Enter 0 if there are no ethics)

Session Description

Enter session description (Required). 75 words or less.
Select a file to upload additional information related to your session.

Speaker Photo/Headshot