* Mandatory fields
Name/title of event*
URL of event website (if available)
Tell us a little about the contribution that you would like the Knowledge Institute speaker to make: (e.g. Panel member, keynote speech, roundtable)
Duration of Knowledge Institute presentation: (30 minutes, 1 hour, etc.)
What is the expected audience for the event?
Is this event open to media?*
Will it be on the record?*
Will the event be recorded on video?*
Will the event be streamed live?*
Who are the sponsors of the event, if applicable:
Are any other organizations engaged in the event? If so, please list and include details of involvement
Primary point of contact information
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