SPEAKER PORTAL

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NEW SPEAKER INFORMATION FORM

Fill out this form to make sure all of your speaker information is ready to be used for the BETTER FUTURES events.

* Indicates required field

Event *

Select the event in which you wish to be a speaker. Select ANY if you are open to speak in more than one event.

What's your name? *

First

Last

How is your name pronounced? *

Please tell us how would an English speaker pronounce your name/last name.

Please type your email *

Permission *

By checking this box, the speaker/participant gives permission to use their materials, likeness, images, and other edits, etc. in Better Future's promotion, websites, and video channels.

Submit

* Indicates required field

What is the title/topic of your presentation? *

Short introduction to be used when the MC brings you on stage (maximum 500 characters) *

Please upload a headshot image *

Max file size: 20MB

Please upload a high quality image and not pixelated

Upload File *

Max file size: 20MB

Permission *

By checking this box, the speaker/participant gives permission to use their materials, likeness, images, and other edits, etc. in Better Future's promotion, websites, and video channels.

Submit

* Indicates required field

Primary organization/organization link *

Position *

Secondary organization/organization link *

Position *

LinkedIn Link *

YouTube Link *

Personal or Professional Link *

Facebook Link *

Twitter Link *

Instagram Link *

Permission *

By checking this box, the speaker/participant gives permission to use their materials, likeness, images, and other edits, etc. in Better Future's promotion, websites, and video channels.

Submit

* Indicates required field

Academic credentials (select all that apply) *

AA AS BA BE BS MA MBA MD MS MPA MPP MSc PhD

Which field do you belong to? *

Please specify your Academic Credentials *

Specify title or degree if applicable.

Permission *

By checking this box, the speaker/participant gives permission to use their materials, likeness, images, and other edits, etc. in Better Future's promotion, websites, and video channels.

Submit

Long biography to be used for promotional purposes (maximum 5000 characters) *

If you have any reports, documents, slides, etc. that would enhance the conversation please upload them here *

Max file size: 20MB

Upload File *

Max file size: 20MB

Thesis/dissertation/technical paper *

Max file size: 20MB

Permission *

By checking this box, the speaker/participant gives permission to use their materials, likeness, images, and other edits, etc. in Better Future's promotion, websites, and video channels.

Submit

Military status type *

Select one if applicable.

Military rank *

Select one if applicable.

Other military honors *

Please specify if applicable.

Permission *

By checking this box, the speaker/participant gives permission to use their materials, likeness, images, and other edits, etc. in Better Future's promotion, websites, and video channels.

Submit

Any Questions?

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