Presenter Submission Form

Applicant Information

*Applicant Name

*Applicant Email

Organization/Institution

Phone Number

Primary Lead Presenter

*Will the presenter be in person or online?

In person
Online

*Prefix (Dr., Mr., Ms., Miss, etc.)

*First Name

*Last Name

*Presenter Email

*Presenter Job Title

*Organization

*Organization Website

LinkedIn URL

*Presenter Headshot

This will be featured on the event program, website, and app.

Browse

*Presenter Bio

This will be featured on the event program, website, and app.

Additional Presenters

If more than one presenter, please list all proposed presenters' names, job titles, organizations, and email addresses.

Presentation Information

Please ensure the information is correct and checked for spelling errors as the information provided will be used for the event website, program, and app.

*Presentation Title

*Presentation Description

(max. 200 words)

Presentation Theme

Check all that apply.

Technology
Standards
Policy
Governance
Research
Collaborative initiative
Quality assurance
Privacy
Innovative practice
Student service improvement
Interoperability
National focus
International focus
Other

*Identify 2 to 3 learning outcomes that you intend for participants in your session

Session Format

Indicate your preference for presentation format.

Presentation
Panel Session
Workshop
Virtual, Live Stream
Virtual, Pre-recorded

Anticipated Length

15 minutes
30 minutes
45 minutes

*Consent

I hereby give my consent to the GDN to:
- use the presenter name, bio, headshot and presentation description for publication on the website;
- combine the session with other presenters to advance the overall symmetry and quality of the GDN program, if needed;
- publish a taping of the session on the GDN website and LinkedIn site subsequent to the event, as needed;
- use my email to inform me about the status of the application, and to send me relevant information about the event.