Speaker Request Form - Bridging the Gap Conference

Please only submit one application. Multiple submissions will be disregarded.

Submissions will be accepted through January 31st

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Are you interested in becoming a panelist or speaker?

Panelist
Speaker

*Speaker: We will cover an economy level flight, and two nights in hotel. Must commit to staying throughout full event and participating in more than one session.

*Panelist: We will cover two nights in hotel.

Name

First

Last

Title

Company Name

Industry

Mailing Address

Contact Phone Number

Speaker Bio:

Proposed Title:

Brief Description of Presentation:

Your Three Learning Objectives:

Target Audience:

How would your session relate to this year's theme - "Expedition Innovation: Charting New Paths in People, Technology, and Practice"?

If chosen to speak at BTG 2025, Tri-Merit will cover your conference registration, hotel stay, and travel costs (depending on if you are a Speaker or Panelist). No additional speaker fee will be given.

I understand

Please mark the field, "I understand". If you have additional questions or concerns, email us at info@btgconference.com.