Social Innovation Summit 2019 | Speaker Recommendation Form
Thank you for your interest in nominating a speaker for the Social Innovation Summit taking place on June 4-5, 2019 in Los Angeles. 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.
Name of Proposed Speaker *
Title *
Company or Organization *
Where are you based? *
Contact Email Address *
Please share a short bio (5 sentences or less) *
Proposed Theme / Title for Presentation *
Link to a relevant speaking engagement (if applicable)
Your Name and Email (if different than Speaker above) *
Never submit passwords through Google Forms.
This form was created inside of Landmark Ventures. Report Abuse