BECOME AN SPEAKER

A speaker at the Qualia Psychedelic Summit is an expert, researcher, or thought leader who delivers presentations, workshops, or participates in panel discussions focused on topics related to psychedelics, mental health, therapy, or wellness. Speakers share insights, research findings, or personal experiences with the summit's audience, contributing to the collective understanding of psychedelic science, therapeutic practices, and policy developments. Their role is to educate, inspire, and engage attendees, often shaping conversations in the rapidly evolving psychedelic space.

Fill out the following form

1. Name:

12. Key Takeaways:

2. Last Name:

3. Email:

4. Birth:

5. Portfolio:

6. Website:

7. Instagram:

8. Facebook:

9. Current Job: (Years of Experience in Your Field)

13. Why are you passionate about this topic?

14. Have you presented at any previous summits, conferences, or workshops?

15. Are you willing to participate in post-event activities (e.g., Q&A sessions, interviews)?

16. Can you provide a brief overview of your career path and key roles you’ve held?

17. What is your area of expertise or specialization?

18. Do you have any certifications or additional training relevant to your field?

19. Is there anything else about your experience or background that you think would be important to highlight?

10. Topic Overview:

11. Target Audience:

By submitting this form, I consent to the use of my provided information for event-related purposes, including communication, logistics, and promotional activities, in accordance with applicable privacy laws.

Thak you for your submission!

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