Tech Tools For Life Speaker Application

Tech Tools For Life Speaker Application

Thank you for your interest in submitting your presentation for the 2025 CT Tech Tools for Life conference. We look forward to reviewing your submissions!
Speaker Information
Primary Speaker's Name

First NameLast Name
Title
ex: Service Director
Professional Initials
ex: LCSW, CCDP, etc
Company / Organization Name as Applicable. If not applicable place a N/A in the box.
Phone Number
Format: (000) 000-0000.
E-mail

Confirmation Emailexample@example.com
Do you have a co-presenter?
Second Speaker's Name

First NameLast Name
Second Speaker's Title
ex: Service Director
Second Speaker's Professional Initials
ex: LCSW, CCDP, etc
Second Speaker's Company / Organization Name as Applicable. If not applicable place a N/A in the box.
Second Speaker's Phone Number
Format: (000) 000-0000.
Second Speaker's E-mail

Confirmation Emailexample@example.com

Speaker Information