Speaker Form

Speaker Form

Name*

Bio*

Headshot *

Please provide a professional headshot

Upload

Size limit: 100 MB. File limit: 10.

For those giving lightening talks, are you able to share your slides in a ‘Google Slides link’ to add to our Master Google Slides deck?

Protocol / Standard

Which standards body or protocol are you working with?

Organization

Which organization are you working for or representing?

LinkedIn

Email for Patchwork organizers

X

What is your cellphone? *

Which messaging platform do you want us to use for a ‘temp speakers group’ [comm/waiting room]? *

For those who chose telegram, what is your handle?*

-Optional Questions if you’re representing a Standards Body - 1 Paragraph description of your protocol/standard?

Where is the protocol/standard being housed?

(Select as many as you like)

Link for participants to learn more about the protocol/standard:

Current needs for your protocol/standard?

logo of your company or protocol/standard - please make sure you give us the file in

Upload

Size limit: 100 MB. File limit: 10.

Are there any other specs or efforts or additional info you'd like to share?