speaker intake by Lynne Whitbeck | Aug 11, 2023 Speaker InformationItems marked with a + will be included on the conference website and virtual platform, and in the program.Name +(Required) First Last Pronouns (optional) Email(Required) Email + Please enter the email address that you would like to have listed in the conference program. Write none if you would like no email listed.Phone(Required)Primary Title and Affiliation +(Required) The primary title and affiliation you enter here will be included on the conference website and virtual platform, and in the program. You have the option to submit a secondary title and affiliation below. If space allows, we may list the second title and affiliation, as well.Secondary Title and Affiliation Address(Required) City State / Province / Region AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Photos +(Required) Drop files here or Select files Accepted file types: jpg, jpeg, tif, png, gif, Max. file size: 50 MB, Max. files: 4. Please upload a headshot and/or photo(s) of yourself doing the work you love! You can upload up to four photos in the following formats: JPG, JPEG, TIF, PNG, and GIF. The maximum file size allowed for each photo is 50MB.Personal Bio +(Required)1500 characters maximum. Please note that we will copyedit and proofread your bio before posting it, but we will not alter its content.Website + Would you be willing to be a guest on a Quivira podcast, (Down to Earth and/or Regeneration Rising)? Sure No thanks We will work with your availability to schedule this.Have you published books, papers, articles, or videos that you'd like us to include on your speaker page? Yes No Please list the title(s) and/or URLs of your publications. +Social Media Links +Please list links or handles to social media accounts that you would like to be linked in Regenerate conference outreach. Presentation InformationIf you are speaking on a panel, we have developed a title already for the panel. But we'd still love to hear your ideas if you have them! If you are speaking solo, please share your title/description. Things to consider in forming them are your passions, background, current projects; our conference theme of Microbes*Markets*Climate; and some of our interests we outlined in our initial communications. You are welcome to change the title/description later. We have suggested titles for all presenters which we will use until/unless you share your title with us via this form or email. If you want help deciding your title, or want to send it to us later, please email Leah at [email protected]. We will be scheduling meetings with all speakers over the coming months, so we can refine your presentation details then if needed.Title of your presentation: Short presentation description (3-5 sentences):SchedulingThe 2023 REGENERATE Conference will take place Nov 1-3 in Santa Fe, NM. The main conference speaker sessions will take place between 8AM and 5PM on Nov 2 & 3. We encourage your participation throughout the entire conference, but we recognize this may not be possible. I am available all day on the following days: (check all that apply)(Required) Thurs Nov 2 Fri Nov 3 We will inform you of the final schedule as soon as it is set.Do you have any scheduling conflicts on Nov 2 or 3 that we should be aware of? Are you interested in participating in any roundtable discussions?(Required) Yes, I'm interested in participating in a roundtable, but only one Yes, I'm interested in participating in two roundtables No thank you Not sure - I'd like more info Facilitated roundtables will take place on the main conference days Nov 2 & 3, exact timing TBD. They are an opportunity for speakers and participants to interact in in-depth discussion on topics related to your presentations. We may repeat the same topics twice (exact structure TBD). Please let us know if you're willing to participate in at least one ~60-75 minute roundtable. We also plan to have a lead facilitator (non-speaker) at each roundtable unless you have explicit interest and background in facilitation.Anything else you want us to know at this time?Thank you!We will be in touch again soon to confirm exact dates, speaking times, and roundtable details. We'll also be sending a second, shorter form to confirm your travel plans and presentation logistics.PhoneThis field is for validation purposes and should be left unchanged. Δ
