cSw Speaker Form

Thank you for agreeing to join us as a speaker for Curious Science Writers!

Please fill out this short form. The information will be used to highlight your participation in Curious Science Writers on our website and social channels. If you were a speaker in the past, and your information has not changed, simply put “no change” in the appropriate boxes.

Name*
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Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email*
Job Title/Role*
Organization/Company*
If you are not with an organization, please indicate your status (freelance, retired, etc.)
Please share your social handles so we can connect with you
Bio
Please share your short bio that can be included on our website at https://curioussciencewriters.org
Picture
Please share your picture that can be included on our website at https://curioussciencewriters.org
Max. file size: 64 MB.
Presentation details
Please share the topic you will present and/or preferred session title.