Psychotherapy Networker Symposium Collective Keynote Submission
Thank you for submitting your story for consideration for the Collective Keynote, which is part of the 50th Anniversary Symposium, March 18-21, 2027. Please complete the form below and upload your video submission. All submissions are due October 15, 2026. Participants will be notified of results by January 2027.
Full Name
*
First Name
Last Name
Credentials
*
Email Address
*
We'll use this to contact you if your submission is selected.
Phone Number
This is used only if we cannot reach you by email.
Format: (000) 000-0000.
Brief 2 or 3 sentence bio:
*
Upload Your Video File
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Confirmation of Original Video File
I confirm that the video I am submitting is entirely my own original creation and does not include AI-generated video.
Usage Agreement
If selected, I grant Psychotherapy Networker and it's affiliates the right to use my video in event materials. I sign over rights to my video for these purposes.
Submit Entry
Should be Empty: