AUSactive 2024 Call for Speakers Question Title * 1. What is your full name? Question Title * 2. What is your phone number? Question Title * 3. What is your email address? Question Title * 4. In which city/ state are you located? Question Title * 5. What is the name of the company you work for? Question Title * 6. What is your current job title? Question Title * 7. What is your area of expertise or the topic you would like to speak about? Question Title * 8. How long approximately will your session run? Question Title * 9. What is the title of your presentation? Question Title * 10. Can you provide a brief summary or abstract of your presentation topic? Question Title * 11. What are the key takeaways or learning outcomes for the audience after attending your presentation? Question Title * 12. Will you be incorporating any interactive elements? Lecture Group Activities Audience Participation Role Play Analogy Simulation Other (please specify) Question Title * 13. What type of AV requirement will you need? PowerPoint Microphone Comfort Screen Other (please specify) Question Title * 14. Can you provide a reference of your previous speaking experience Question Title * 15. Please provide your most recent biography Question Title * 16. Please kindly attach your headshot PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please kindly attach your headshot Done