BCI Netherlands & Belgium Conference 2020 - Call for Presentations

Title (Mrs, Ms, Mr,...) ^*

First Name ^*

Surname ^*

BCI Membership Number (if applicable)

Job Title ^*

Organization ^*

Professional Address (Address) ^*

Professional Address (Line 2)

Professional Address (City) ^*

Professional Address (State / County) ^*

Professional Address (Zip / Post Code) ^*

Professional Address (Country) ^*

Phone

Mobile / Cell

Email Address ^*

Please tell us how you found out about this call for papers ^*

Type of Submission ^*

Presentation with slides

Interactive Workshop

Panel Discussion

Other

Please detail other

Which stream are you submitting for? ^*

Stream 1: Application

Stream 2: Ambition

Stream 3: Alliance

Title of presentation / session (Maximum 100 Characters) ^*

Sub-title of presentation (optional)

Who is your target audience? ^*

Synopsis (guideline 300 words). Please include references to supporting material where relevant. ^*

Please explain why you are the most qualified or appropriate person to present this topic: ^*

Please give us the three main 'take-away' concepts, outcomes or knowledge that you intend delegates to achieve from your presentation ^*

Biography*: please upload here (guideline 300 words, written in the 3rd person)) ^*

Browse

High resolution headshot photo (over 1Mb) *: please upload here ^*

Browse

Summary of speaking experience ^*

BCI members only: are you interested in submitting a written paper in support of your presentation, to be published by The BCI?

Yes

The BCI would like to publish conference presentation slides in PDF format to all conference delegates. Please tick below (choose just ONE): ^*

I agree to my conference presentation being provided in PDF format to all delegates

I will provide an adjusted version of the presentation which is suitable for distribution

My presentation will not be suitable for distribution