Brief Biography: Share a summary of your personal and professional background. *
Your answer
Describe the lived experiences you bring to the panel. Highlight specific challenges, achievements, or insights that shape your perspective. *
Your answer
Detail any expertise or knowledge related to the panel's focus. Mention any educational or professional background that contributes to your insights. *
Your answer
Explain why you are interested in participating as a panelist. Share your goals and what you hope to contribute to the discussion. *
Your answer
Specify any accommodations or accessibility needs required for your full participation. *
Your answer
Indicate your preferred mode of communication(e.g., verbal, written) during the panel discussion. *
Photography/Recording Consent:
Grant or deny permission for the use of any photography, audio, or video recordings during the panel discussion
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Required
Data Usage Consent:
Acknowledge your consent to use your information for panel-related purposes, such as promotion or documentation.
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Required
Additional Comments or Considerations: Provide any additional information or considerations you would like the organizers to be aware of. *