Name Of Speaker Organization*
Speaker Email Address*
How did you hear about The Corporate Citizenship Conference (C3)*
What is the title of your proposed session? *
Please Select Which Role Best Suits Your Skill Set / Expertise*: (*)
panelistsession / workshop leaderNo preference
What are the five things attendees will learn from your Session/Panel Discussion?*
Please indicate five major takeaways from your session in 500 words or less.
Why are you interested in speaking at C3?*
Please indicate in 500 words or less why you would like to speak at one of the C3 listed above?
High-Resolution Photo of Speaker*
Social Media Contact Information:*
Please list any personal websites and/or social media presence. Include the social media platform and all relevant usernames. e.g. Twitter: @riyhtmedia or http://www.riyhtmedia.com/ (500 words or less)