Summit Conference Speaker Confirmation Form

Questions about this form? Contact Dawn Lalley | lalley@eri-wi.org

Name
First Last
Email
Session Title*
Sections to Review:
Please review your draft session page on the Summit Conference website being developed. Make sure the following elements are accurate:

1. Session Title
2. Session Description
3. Learning Objectives
4. Speaker Names
5. Speaker Bios
Do any of these elements need to be updated or changed?
- Session Title Needs Changes
- Session Description Needs Changes
- Learning Objectives Needs Changes
- Speaker Names, Organizations, Titles and Emails Need Changes
- Speaker Bios Need Changes
- I have reviewed my session page and no changes are needed at this time.
Please include Session Title changes:
Please describe Session Description changes:
Please describe Learning Objectives changes:
Please describe Speaker changes:
Please describe Speaker Bio changes/additions:
Speaker Photos
We would like to include a photo of each of the conference presenters. Please upload photos we can use for each speaker or include a link in the box below where we can find a photo of you online to use.
Upload a photo (i.e. jpg, gif, png, pdf):
Drop files here or

Accepted file types: jpg, gif, png, pdf.
Add a link to your photo online which can be used on your session page:
Phone
This field is for validation purposes and should be left unchanged.

Save and Continue Later

Sections to Review: