Event Speaker Form

Please fill out the form below with your information for our upcoming event. If you have any questions or are experiencing any difficulties with the form, please contact us.

"*" indicates required fields

URL

This field is for validation purposes and should be left unchanged.

Name*

Email*

Presentation/Offering Title*

Presentation/Offering Description

Please provide a paragraph or two describing the presentation you'll be giving or offering you'll be facilitating for Process Explorations. The description should be written in the third person—i.e. "In this presentation, Andrew Schwartz will explore…"

Do You Have Any Co-Presenters?*

Yes, and I will submit bios and headshots on their behalf

Yes, and they will submit their own bios and headshots separately

No

Number of Co-Presenters*

Please enter a number from 1 to 4.

Your Role & Affiliation*

Share the title which should appear alongside your profile. Please list both your role and the affiliated organization, i.e. "Program Director at the Center for Process Studies". If desired, you are welcome to submit multiple titles in this field. General entries such as "independent researcher" or "artist" are also welcome.

Your Bio (100-175 words)*

Provide a short bio written in the third person.

Co-Presenter 1 Role & Affiliation*

Share the title which should appear alongside their profile. Please list both their role and the affiliated organization.

Co-Presenter 1 Bio (100-175 words)*

Provide a short bio written in the third person.

Co-Presenter 2 Role & Affiliation*

Share the title which should appear alongside their profile. Please list both their role and the affiliated organization.

Co-Presenter 2 Bio (100-175 words)*

Provide a short bio written in the third person.

Co-Presenter 3 Role & Affiliation*

Share the title which should appear alongside their profile. Please list both their role and the affiliated organization.

Co-Presenter 3 Bio (100-175 words)*

Provide a short bio written in the third person.

Co-Presenter 4 Role & Affiliation*

Share the title which should appear alongside their profile. Please list both their role and the affiliated organization.

Co-Presenter 4 Bio (100-175 words)*

Provide a short bio written in the third person.

Your Headshot*

Please select a photo that is well-lit, high resolution, and does not feature any individuals other than yourself.

Accepted file types: jpg, png, Max. file size: 15 MB.

Presenter Headshots*

Please select photos that are well-lit, high resolution, and do not feature any individuals other than the presenters. Presenter names should be included in the file name, i.e. "Mary-Elizabeth-Moore.jpg".

Drop files here or

Accepted file types: jpg, png, Max. file size: 15 MB, Max. files: 5.

Thanks for your willingness to share your time and expertise at our Process Explorations program! After you submit this form you will receive a confirmation email with a copy of your responses and our team will begin preparing the event page and promotional materials for the session.