Speaker Form

  • In order to ensure the highest quality video, we require the following equipment be used during your session recording. Please select below which item(s) you would need for us to send to you.
  • Please provide a mailing address where we can ship equipment for your session recording, if applicable.
  • This will determine the type of equipment we send to you.
  • (i.e. Windows or Mac) - Please indicate model and year with your answer.
  • (i.e. Android, iPhone 8, iPhone X, iPhone 11) Please indicate if you have a cable adapter that can connect your phone to your computer.
  • Please choose your speaker role from list below.
  • Please provide a short bio of up to 100 words
  • Please upload your current headshot to be used on our website, program
  • This field is for validation purposes and should be left unchanged.