MediaFest 25 session request
Speaker name:
*
Speaker phone number:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Speaker email:
*
example@example.com
Speaker role:
*
Professional
Adviser
Student
Speaker Business Name:
*
Speaker School Name:
*
Speaker Title:
*
Intended Audience for this Session:
Students
Advisers
Both
Intended Audience for this Session:
Pros
Students
Advisers
All
Session Title:
*
Session Description (25 - 50 words):
*
This will be used in promotional materials and published in the digital convention program.
Session type:
*
Single Speaker
Multiple Speakers
Panel Discussion (moderator with two or more speakers)
Speaker #2 name and company/school:
Name, Company/School
Speaker #2 email:
example@example.com
Speaker #3 name and company/school:
Name, Company/School
Speaker #3 email:
example@example.com
Speaker #4 name and company/school:
Name, Company/School
Speaker #4 email:
example@example.com
Please indicate any known time restrictions for your session (i.e., when you are NOT available between October 16-18):
Leave blank if you don't have any known time restrictions.
Please note: What you submit here will be reviewed and if approved, used in the convention app and convention promotion. Please double check for spelling.
*
I have reviewed the above session
Submit
Should be Empty: