Speaker Recommendation Form

About you (the nominator)

Nominator's Name*

First Last

Nominator's Email*

Nominator's Mobile Number

Speaker's Name*

First Last

Speaker's Email*

Suggested Speaker Topic

Why he/she is awesome?

Tell us briefly about the speaker. What’s their occupation? Any honors or distinctions? Their recent work? Why are you recommending them?

Has this person spoken publicly before? If so, where?

Videos, Audio and etc

Please provide links to online video or audio featuring the proposed speaker.

Articles, Pages, and etc

Please provide links to any articles or web pages about the speaker.

Do you know this person personally? - It’s okay if you do not.

Speaker's Mobile Number

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