Media Questionnaire
1. What is your first and last name?
*
2. Are you a Lead Presenter or a Co-presenter?
*
Lead Presenter
Co-presenter
3. What is your cell phone number? (This will not be shared)
*
4. Please provide a direct website link to each of your social media profiles (Example: https://www.linkedin.com/in/megan-smith-profile/).
*
Facebook
LinkedIn
Instagram
Twitter
5. Can media attend your session?
*
Yes
No
6. Can media record short clips from your session? (These may be used in an interview or story for the overall conference)
*
Yes
No
7. Can media take photographs or can you provide photographs?
*
Yes
No
8. Please explain if necessary.
9. Are you available for interviews?
*
Yes
No
10. Please explain if necessary.
11. What is the best way to contact you during the Conference if media should like to speak with you (text, call, contact person, etc.)? If you prefer a contact person, please list their name and number.
*
12. Are there any reporters or publications that have covered your work that you'd like us to invite to attend the conference?
Contact Megan Smith,
msmith@conferencecaw.org
,
if you have any questions.
