Conference Presenter Application

Basic Presenter Information

First Name
Last Name

Presentation Details

Title of Presentation
Description of Presentation
Purpose-Objectives and Practical Application for your presentation:
Presentation's relationship or relevance to Ortho-Bionomy in context of conference theme:
Will you be willing to adjust your presentation to a different time frame?
Will your presentation include a handout?:
Bibliography or Reference literature for your presentation (include author, title, publisher, and year):
Past Virtual Presentation Experience:
What kind of tech support do you need?:
Would you want to pre-record your presentation?
Will you be available for questions after your presentation?
Other information for Presentation Committee:
Audience needs:
Presenter Needs Access to Screen Sharing:

Please email handouts to by April 1st

   - denotes required fields