Speaker Form Information | The Bucks-Mont Collaborative for Health & Human Services

Name *

First

Last

Email *

Are you volunteer or speaker? *

Address

Address Line 1

City

State

Zip Code

Upload Your Resume or Bio (.pdf, .doc, .docx, .jpg, .jpeg)

Click or drag a file to this area to upload.

Upload Your Presentation (.doc, .ppt, .docx, .pptx, .pdf)

Click or drag a file to this area to upload.

May we share these slides with all summit attendees post-event? If not, we will only share them with our CEU provider for documentation. *

Yes
No

May we share your session recording with all summit attendees post-event? Recordings would be available for attendees for up to two weeks post-summit. *

Yes
No

Volunteers or Speakers, please upload the recording here after the summit: (Please compress your video files into a ZIP format.)

Click or drag a file to this area to upload.

Please compress your video files into a ZIP format.