Speaker Submission Form Name*Name as you want it to appear on this Website and in the Program Guide. Please include ", Ph.D." at the end of your name, if applicable.Speaking Position* 30 Minute Speaking Presentation Panel Participant Moderator Keynote 1 Hour Demo Stage Presentation Please select all that apply to you.Email* Mobile Phone*That you can be reached by prior to and while at the event.Upload Headshot*The one you want on the website and in the Program Guide.Job Title*As you want it to appear on this Website and in the Program Guide.Company*As you want it to appear on this Website and in the Program Guide.Specialization*(i.e. Education, Research, Legal, Marketing, etc.)Country of OriginWebsite URL*Personal if not business. This will be hyperlinked in your Speaker Profile on this Website.Linkedin URL*Please make sure your Linked In is updated!Favorite Quote (optional)This will appear in your Speaker Profile on this Website.Accolades (optional)Upload CV/ResumeThis will greatly increase your chances of passing our vetting process.About Yourself (Relate it to your Presentation Topic)*This will be in the Biography of your Speaker Profile on this Website. Please add details of your presentation topic. Presentation abstracts will be collected in July and slideshows will be collected in August.