Move United /

Speaker Interest Form

Speaker Interest Form

Speaker Interest Form

Name(Required)
Preferred Name
Pronouns(Required)
Address(Required)
List the Move United Member Organization and your relationship to the organization.
Please select all events you'd like this session to be considered for(Required)
Speaker Agreement(Required)
I acknowledge that this opportunity is voluntary in nature; there will be no financial compensation for serving as a speaker or panelist. I also acknowledge that submission of this form does not guarantee selection as a speaker or panelist.

Accessibility Statement: If you are having difficulty with website access to this form, please feel free to contact Dr. Kayleigh McCauley-Sayer, Director of Member Services at kmccauley@moveunitedsport.org.