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!
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*
E-mail*

Confirmation Emailexample@example.com
Do you have a co-presenter?*

YesNo
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*
Second Speaker's E-mail*

Confirmation Emailexample@example.com

Required documents for upload #1: Brief Speaker bio (1,500 character limit)*

Cancelof
Required documents for upload #2: Speaker headshot/photo (500 x 500 pixel size)*

Cancelof
Required documents for upload #3: Speaker company logo (500 x 500 pixel size)*

Cancelof
Required documents for upload #1: Brief Speaker bio for Speaker #2 (1,500 character limit)*

Cancelof
Required documents for upload #2: Speaker #2 headshot/photo (500 x 500 pixel size)*

Cancelof
Required documents for upload #3: Speaker #2 company logo (500 x 500 pixel size)*

Cancelof

Are you both an Exhibitor and a Speaker? In order to schedule your session properly, let us know.*
I agree to submit my presentation prior to the Conference *
I have verfied that all information provided is accurate. and complete*

Yes
Enter the message as it's shown*
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