DCHA speaker form

Speaker form

This form allows conference speakers to upload their information and is sent to staff to easily access the information.

Name(Required)

First Last

Place of employment and title. (Example, Assistant Professor of Dairy Science at Iowa State University)(Required)

Email(Required)

Enter Email Confirm Email

Address (For conference reimbursement/stipend to be mailed to.)(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Cell phone (Will only be used around conference time and email is not the best way of communication.)(Required)

Upload W-9 (if needed) here

Drop files here or

Max. file size: 2 GB.

Bio/resume/CV for RACE credit (either upload file here OR enter information below)

Drop files here or

Max. file size: 2 GB.

Bio/resume/CV for RACE credit (either enter information here OR upload file above)

Headshot (for promotional use)(Required)

Max. file size: 2 GB.

Presentation title: If presenting in a panel, please enter which track: Wet-calf/weaning, Post-weaning/reproduction, Beef x Dairy, General session

Presentation description (either enter description here 3-4 sentences OR upload below)

Presentation description (either upload here OR enter description above)

Max. file size: 2 GB.

Learning objectives (3 or more) if on a panel, enter N/A.(Required)

Company Website URL

Social Media Profile(s)

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