Center for the Study of Citizenship speaker information

Fields with asterisks (*) are required.

Personal information

Saluation *

First name *

Last name *

Email *

Name as you wish it to appear on your badge *

Organization *

Address line 1 *

Address line 2

City *

State/province/region *

Postal/zip code *

Country *

Phone 📱

Will you need an attendance confirmation letter after the conference? *

Yes

Emergency contact phone 📱 *

Emergency contact during conference *

Presentation title *

Presentation delivery *

I will email my presentation to the Center

I will bring my presentation to the event on a USB flash drive

I do not have a presentation

Abstract of Presented Papers on the conference website *

If presented, please add my abstract to the website

If presented, please do not add my abstract to the website

Presentation format *

Audio/visual needs

Arrival date *

Departure date *

Do you have any special dietary needs or food allergies? Please specify

Will you need a letter of invitation required for your Visa? *

Yes

Please list any notes or special instructions for invitation or confirmation letters

Additional comments/feedback