Global Perspectives Speakers’ Participation Agreement

Name *

First

Last

Email *

Affliation

Name of the organisation, network, foundation...etc that the speaker is affiliated with

Position

Session Title

What is the content of the session you would like to present? *

What is the format of your session (workshop, presentation+discussion, campfire/networking session, panel discussion..)

Please enter a short bio of the speaker(s)/presenter(s) *

Please indicate below any requests for session implementation (whiteboard, breakout rooms..etc)

Data Privacy and Event Terms and Conditions *

Captcha *

Communications Manager

International Civil Society Centre

Disrupt & Innovate