Social Innovation Summit | Speaker Recommendation Form
Thank you for your interest in nominating a speaker for the Social Innovation Summit! If you'd like to be considered for a speaking role, please complete the form below. While there is no hard deadline, we encourage you to send in your submission as soon as possible as our opportunities are limited and in high-demand.
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Name of Proposed Speaker *
Company or Organization *
 Job Title *
Email Address *
Where is the speaker based? *
Short Bio (5 sentences or less)
Proposed Theme / Title / Format for Presentation
Will you be making an announcement or sharing any news on behalf of your organization?
Link(s) to relevant article, video, or speaking engagement
Contact Name, Title, and Company (if different than Speaker above)
Contact Email (if different than Speaker above)
Submit
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