Nevus Outreach Conference 2026 Speaker Application
Thank you for your interest in speaking at the 2026 Nevus Outreach Conference. All applications must be submitted electronically via this form. Please submit a separate application for each session you wish to propose. Application Deadline: February 2, 2026Applications will be reviewed by Nevus Outreach Staff and Research Committee. Additional information may be requested. Submission does not guarantee selection. For questions, contact us at conference@nevus.org.
First Name
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Last Name
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Company/Affiliation (if applicable)
Title, Credentials, Professional Reference
Phone Number
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Please enter a valid phone number.
Email
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example@example.com
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Biography (limit 200 characters)
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Upload a recent headshot to use for the conference website and promotion
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Browse Files
Drag and drop files here
Choose a file
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Are you interested in speaking in one of these areas
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Medical experts in the fields of CMN and NCM
Mental health professionals
Researchers
Motivational speakers
Members from the nevus community who want to share their story
Desired Session Format
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General or Concurrent Session
Interactive Workshop
Fireside Chat
Panel Discussion
Ideal Session Length
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Please Select
30 minutes
45 minutes
60 minutes
90 minutes
Proposed Session Title
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Names and Credentials of Co-Presenters (if any)
Description of Session
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Learning Objectives
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Will the presentation potentially include sensitive information that should not be made available to the public?
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Yes
No
Do you need support or compensation for speaking (check all that apply)
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Travel Expense
Hotel Accommodations
Registration
Additional Fee for Speaker
I do not need support or compensation for speaking
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I confirm that I have reviewed the Nevus Outreach Conference Speakers guidelines
Submit
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