Speaker submission form

A message for our conference speakers
Thank you for agreeing to serve as speakers for this year's conference. Please use the form below to upload your contact information, speaker bio and headshot. We will use this information in the conference program, given to all attendees as a means to contact you for interviews following your presentation.

We appreciate your generous donation of time and knowledge.

Speaker form
Before you begin this form, please have ready:

Photo of yourself, 300 dpi, CMYK or RGB color, tiff or jpeg format, at least 2" x 2" in size.
A short bio. Note: your bio will be shortened to about 200 words (or less) for space reasons. If you would prefer to edit it yourself, please do so before you paste it into the form below.

TIP: Hover your cursor over underlined text for more information.

First Name *		Last Name *
EmployerEnter your employer (or organization) that best reflects your participation on this panel.
Business TitleEnter the business title that best reflects your participation on this panel.
AddressUse the address at which you prefer journalists to contact you and that you can receive mail from RELIGION \| NEWSWRITERS.
Address Line 2
City		State/Province
Zip/Postal Code		Country
Phone Area CodeUse the phone number at which you prefer journalists and RELIGION \| NEWSWRITERS staff to contact you.		Phone
E-mail AddressUse the e-mail address at which you prefer journalists and the RELIGION \| NEWSWRITERS staff to contact you.
Presentation will require:Basic panel setup includes a speaker table on risers, a podium with a microphone and a table microphone for Q&A. Access to PowerPoint & Keynote is not a problem, but please e-mail your files in advance to masondl@rna.org.	Podium Special microphone (please inquire for availability) Internet (please inquire for availability) Use of Powerpoint (e-mail to RNA in advance) Use of Keynote (e-mail to RNA in advance)
Paste bio here *Copy & paste your short bio into this field. It will be edited to 200 (or less) words for space reasons.
Upload headshotUpload a headshot of yourself, 300 dpi, RGB or CMYK color, TIFF OR JPEG file, at least 2" x 2" in size. This photo will be used in our conference program and possibly on our Web site(s).
Notes or Questions?Please submit any notes or ask any questions here. Thanks!

Edit This Favorite