Speaker type * Presentation Panel Other

Other, please specify *

First name *

Last name *

Email *

Office phone number *

Cell phone number *

Race/ethnicity *

Job title *

Company *

Company website *

Job level * C-Level or equivalent Vice-President level Director level Manager level Other

Other, please specify *

LinkedIn profile *

Twitter profile *

Are you submitting on behalf of a potential speaker? * Yes and approved by the speaker Yes and not yet approved by the speaker No

Video links *

Speaker biography *

Preferred session format * Solo Presentation Co-Presentation Panellist Case Study Showcase Interview Keynote Fireside Chat

Session title *

Brief synopsis of your session *

What in particular will make this session stand out from the crowd? *

Does this session involve a partnership where you would involve a co-presenter? If so, please elaborate *

Have you ever spoken on this topic before - and do you plan to before AIMed 2023? *

How would you describe your presentation style? How do you connect with the audience? *

Is there any other relevant information we should know? *

Comments

All * fields must be filled to complete submission