» Intertwingled Speaker Proposal Form

Please complete this form if you are a speaker presenting at the Intertwingled Conference.

Please note before starting this form: It requires that you upload an abstract of your presentation in MS Word format, and a high-resolution photo of yourself which will be used in the conference materials. The photo requirements are that it be a high-resolution (300 dpi) image in tiff, jpeg or png format. Have these materials ready before beginning to fill out the online form below.

Please also download and complete the Media Release form and Reimbursement Checklist from the links below. These forms must be completed prior to Intertwingled. Bring the completed copies with you to the conference, or, if you prefer, you may provide these completed documents with this online form. Upload fields are provided on the form below.

Download Media Release form (MS Word).
Download Reimbursement Checklist (PDF).

We will be providing a continental breakfast, lunch, and snacks at breaks for the speakers. We will also have a dinner on Thursday, April 24th in the Marvin W. Meyer Faculty Athenaeum (located in the same building as the conference) at the conclusion of the conference. All speakers are invited and encouraged to attend.

Presenter Information

Person to Contact

Presentation Details

Any A/V requests (check all that apply)?


Please confirm that you will be staying in the conference hotel on:
Dietary Requirements:

Will you be bringing guests to the conference? If so, please indicate how many, and provide their names in the fields below:

Additional Attachments

These two documents may be submitted with this form, or you can optionally bring them with you to the conference. They can be obtained from the links at the top of this page. If you are going to submit them with this form, they should be saved to your computer, completed, then scanned to a PDF and re-uploaded to this form in the fields below:

If you can read this, don't touch the following field: