HEN Speakers Bureau List
The HEN Speakers Bureau aims to share the mission and values of HEN with other RDN’s through speaking engagements at affiliate and interdisciplinary conferences. By completing this form, your name and information will be added to a list of HEN speakers willing to share their expertise on HEN related topics at various conferences. The HEN Speakers Bureau ambassador may contact you with potential speaking opportunities and your name and email may be provided to conference organizers seeking out HEN speakers in your region. The form will take approximately 5 minutes to complete.
Name (First and Last): *
Your answer
Email: *
Your answer
Preferred Contact Telephone:
Your answer
Location (City and State): *
Your answer
Are you willing to travel out of state for speaking engagements?
Have you previously presented on HEN related topics?
If yes, please briefly specify conferences or locations of previous speaking engagements:
Your answer
Top three general areas of speaking interest (ex. food insecurity, sustainable food systems, etc.)
1st area of interest:
Your answer
2nd area of interest:
Your answer
3rd area of interest:
Your answer
Do you have HEN related presentations already prepared?
If yes, please provide further information about your presentations:
Presentation 1 Title:
Your answer
Presentation 1 Learning Objectives:
Your answer
Presentation 2 Title:
Your answer
Presentation 2 Learning Objectives:
Your answer
Presentation 3 Title:
Your answer
Presentation 3 Learning Objectives:
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Montana State University. Report Abuse - Terms of Service - Additional Terms