Speaker Application: Schaumburg Health Summit 2020
Application to speak at the 2020 Schaumburg Health Summit on Saturday, April 4, 2020
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Please create a YouTube video that is 3 minutes or less explaining to us your idea, concept, question you will be exploring with the audience, or topic.  This video does not need to encompass your entire talk, rather, sell us on your idea, why it is important, and why our community needs to know about this.  You will later be expected to back up your points with facts, science, or research in the full version of your talk.  Paste link below. *
Your Name (exactly as you would like it to appear in the program if selected) *
Please list your credentials (exactly as you would like it to appear in the program if selected) *
Please include a brief bio about yourself. (content will be used in the program if selected) *
Email Address *
Phone Number *
Mailing address (Street, City, State, Zip).  Please indicate if address is business or home. *
Business Website (if applicable) *
What topic would you like to speak about? *
If selected, would you allow us to tag you in social media posts to promote the event? Would you be willing to share some of the posts? Check any that you give us permission to tag. *
Required
What are your user names on the accounts that you selected above? Please list each account even if they are the same name. *
The following are expectations that we have of our speakers.  Please check that you understand each guideline. *
Required
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