Speaker Application

2026 Movement is Life Summit Theme: Strength in Motion: Reimagining health through community, policy and partnership

Submit your proposal below. Fields marked with * are required.

Speaker's Full Name * Company/Organization Title/Role Email *

Social Media Handles

LinkedIn Facebook Instagram Phone * (Digits only) City * State *

Headshot

Headshot * (.jpg/png, max 5MB)

Preview will appear here

Bio *

0/1200 characters

Presentation

Presentation Type *

Plenary Workshop

Session Title * Session Summary *

0/600 characters

Outcomes

Practice Gap addressed

0/600 characters

Reason(s) for the gap

0/600 characters

Desired learner changes

0/600 characters

Supporting Materials

File 1 File 2 File 3

Instructions

Please ensure all files are within size limits and all required text fields are completed within character counts.