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NECHE Speaker Form
First Name
Last Name
Credentials
Title/Position
Please tell about yourself and your work in about 50-75 words.
Personal or Professional Website (Optional)
Social Media Handles
Please upload a high resolution photo of yourself ((Supported file types include: JPG, PNG, GIF, JPEG, JPE, JFIF, BMP, HEIC, HEIF, TIFF, TIF, WEBP, JPEG 2000 and RAW)
Upload File
Upload supported file (Max 15MB)
Please upload a PDF of your resume or curriculum vitae (CV) - this is helpful for staff meeting and introducing you (Optional)
Upload Resume
Upload supported file (Max 15MB)
Presentation title
Presentation description
Permission to record and share presentation?
Yes
No
Submit