EmailMe Form - Speaker Candidate Application Form

Name *

First Last

Email *

Confirm

Company

Title

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone *

### - ### - ####

First: Choose a Live Talk Category *

Second: Choose a Live Talk Theme *

Third: Submit a photo of yourself
Candidates must provide a quality headshot photo of themselves. *

Fourth: Record a video overview of your Live Talk Idea

Candidates must provide a brief 1-2 minute video overview of their Live Talk Idea and submit the video URL when completing the speaker application. Please record your Live Talk Idea on your cellphone, then upload your video using the YouTube App or another video platform (Vimeo, Dailymotion, Vivo), and submit your video's URL.

Video URL *

Before submitting your application, please review how NextGen TALKS policies and the personal information you provide to us:

We will evaluate your nomination and will share this information with staff members and third parties selected to review speaker nominations.

The deadline for submitting your application is July 31, 2019. If you've submitted an application, it will stay in our database to be considered for future conferences.

Due to volume, we are not able to respond personally to each suggestion, but someone from NextGen TALKS will be in touch if needed.

Your information will be processed in accordance with NextGen TALKS privacy policy.

Please reach out to support@nextgentalksok.com if you have any concerns with NextGen TALKS managing your data.

By checking this box, I consent and agree to NextGen TALKS processing my information. *

I consent and agree to NextGen TALKS processing my information.

By checking this box, I verify that I have reviewed and agree to the Speaker Content Guidelines *

I agree to the speaker content guidelines