Speaker Registration

Speaker Information

Speaker Name*

Example: Bob Smith

Title*

Example: Director of Operations

Upload headshot*

Accepted file types: png, jpg, gif, Max. file size: 2 MB.

Please provide a high resolution color jpeg photo.

Websites

Example: bobmsmith.com college.ca.edu

Social Media Sites

Example: http://twitter.com/bobsmith

Topic Title*

Example: Living in a scientific world.

Speaker Abstract*

(Please provide in 300 words or less a short abstract) – This information will be included in the program materials.

Speaker Bio

Please provide in 200 words or less your bio.

The reason I am attending the Symposium

Please share in one sentence the relevance of your contribution of your work to society

My favorite charities are