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