Speaker Application - ITEN WIRED

I am applying to speak at:*

AFCEA TechNet CyberCoast
ITEN WIRED Summit

Name*

First Last

Email*

Phone*

Company Name*

Title*

Assistant Name

If your schedule or communications are managed by an assistant, please provide their contact information.

Assistant Email

Assistant Phone

I have previously attended ITEN WIRED.*

Yes
No

I have previously presented at ITEN WIRED.*

Yes
No

Please provide a biography:*

Between 250 and 500 words required. Maximum of 3500 characters.

Please provide a headshot:*

Minimum requirements: 800 x 800 pixels at 300 dpi or greater as a PNG, PDF, or HEIC file.

Please upload your resume:

PDF document required. Alternatively, provide a LinkedIn profile below.

Instagram

Facebook

Twitter

Topic Title*

Brief overview of your presentation:*

Do you have any requirements?*

Preferred Day of Speaking*

Note that your preferred day of speaking must be Thursday, October 19th to speak at TechNet.

Thursday, October 19
Friday, October 20
No Preference

Preferred Time of Speaking*

Morning
Afternoon
No Preference

I agree to provide all required materials by Monday, September 18th, 2023 and respond in a timely manner to any further requests for information.*

ALL materials, including biography, headshot, resume, session topic and description are due by close of business on Monday, September 18th, 2023. If required materials are not provided, you will be removed from the working agenda, placed at the end of the waitlist of potential speakers, and deprioritized for future applications. ITEN WIRED may communicate further information that is required and you will respond within a reasonable time period to any follow-up communications.

Yes

I understand that invitations to speak are not guaranteed and may be revoked at the discretion of the organizers at any time.*

If the organizers modify the agenda up to and including on the days of the event, you accept that any speaking session offered to me may be rescheduled or canceled. IT Gulf Coast, its members, ITEN WIRED, its staff, and sponsors will not be held liable for reimbursements due to costs associated with traveling to or attending the event if your invitation to speak is revoked. ITEN WIRED will make a good faith effort to provide a guaranteed agenda at least 2 weeks in advance of the event and communicate any such changes to the agenda within a reasonable time period.

Yes

I agree that ITEN WIRED may use my information, likeness, and materials for marketing purposes for this and future events.*

The organizers will use the information provided in this application and in submitted materials for the purposes of marketing ITEN WIRED and your speaking session. The organizers may also choose to utilize this information and materials related to your presentation, such as PowerPoint slides, session handouts, and photography and videography captured during the conference, to advertise future ITEN WIRED events. Your information, materials, and likeness will only be used to advertise ITEN WIRED and will not be used for any other purposes or shared with external parties without explicit written consent to the organizers outside of this application.

Yes

Apply to speak at ITEN WIRED and AFCEA TechNet CyberCoast

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