Speaker Information

Speaker Information-ASD

A speaker information form is required for each presenter participating in the session. All speaker information is due at the time of the submission.

Name

First

Last

Current Role/Title

Company/Organization

Gender Pronouns

Phone

We will only use this information if you are selected as a speaker.

Bio (Max 150 words)

Experience as a speaker

First time speaker

Moderately experienced

Very experienced

Have you previously presented at a Rosenfeld Media conference?

Yes

If so, which one/s and in which year/s?

Time Zone nearest to your own*

LinkedIn Profile

Twitter URL

Please share a link to a video that demonstrates your skills as a speaker:

Please upload a high resolution speaker headshot image file

Maximum file size: 125.83MB

Anything else we should know?

Upon submitting this form, you will be taken to the Speaker Diversity + Inclusivity Form.