JSA Speaker Proposal Form
Please fill out this form in as much detail as you can for your presentation idea. We will get back to you via phone or email as soon as possible.
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Full Name *
Email Address
Phone Number *
Website or external link
Organizational Affiliations
Relationship to Depth Psychology (a few sentences) *
Brief Bio (a paragraph) *
Presentation title or topic
Presentation Description (a paragraph) *
Presentation Type
Clear selection
Where else have you presented before? What is your experience with leading this kind of presentation type? *
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