Speaker’s Agreement

Completion and submission of this form to Educate Plus denotes that you have read and agreed to the speaker’s guidelines.

Once your form has been processed, you will receive email confirmation. Any questions please contact events@educateplus.edu.au

About You
Name*
Title First Name Surname
Position/ Title*
Institution/ Organisation*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Speaker Bio
Please provide a brief bio on key/relevant areas of your work profile. Max 100 words. (Note – please do not go over the word count – otherwise we will have to edit)
Bio (max 100 words)*
Proposed Session Title No. 1
Proposed Session Title No. 2

Complete if doing more than one session.
Headshot
Please attach a high resolution (min 1MB, max 20MB), portrait orientated headshot for use in promotional materials.
Image required
Drop files here or

Accepted file types: jpg, gif, pdf, tiff, bmp, Max. file size: 20 MB, Max. files: 3.
Acknowledgement
IMPORTANT: As a speaker it is essential that you complete registration. Registration information will be forwarded to you receipt of this form.
Agreement
- I give permission for my presentation to be added to the Educate Plus members’ only Knowledge bank.
- I do not give permission for my presentation to be added to the Educate Plus members' only Knowledge bank.
- I have read the speaker’s guidelines and agree to present at the 2020 Educate Plus International Conference.
Name*
First Last
Date*
MM slash DD slash YYYY