The Nowak Society - Speaker Interest Form

Thank you for your interest in speaking at our Psychedelic Professional Meetups! We seek to offer education to the community on pressing issues and values of the psychedelic and plant medicine movement. If you have an educational offering you would like to present, please complete the application below to be considered for a future event. Unfortunately we are unable to respond to each request directly. If your application is accepted, a member of our board will contact you to discuss further. 

For questions, email info@nowaksociety.org

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Name(s) of Speaker(s):

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Primary Contact Email:

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Organization(s) you are affiliated with:

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Website:

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LinkedIn:

Please select the location(s) you'd like to speak at:

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Required
Please provide your bio, including relevant experience, areas of expertise, training and/or lineage, or anything else that would be helpful for our attendees to know about you:
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What is the working title of your talk/presentation? 

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In a few sentences, please summarize the topic of your talk/presentation:

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Please briefly describe how your presentation aligns with our Mission and Values:

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If you are offered a speaking opportunity, do you agree to uphold our Values and Ethical Commitments?

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Anything else that would be helpful for us to know?
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