SPEAKER APPLICATION FORM

Applicant Details

Please fill out the requested fields. Fields marked with an * are mandatory.

I would like to

submit a session proposal

be considered as a panellist

First name

Last name

Job title:

Company

Email

Country

I am

Please select one option

What of the following best describes your position?

Board Director

CEO / COO / President / Chairman

Consultant

Executive

Head of Department

Manager with Staff

Manager without Staff  

Non Board Director

Owner/Proprietor

Please fill out the requested fields. Fields marked with an * are mandatory.

Session details

What is the format of your session?

Presentation

Panel Discussion

Case Study

In which theatre(s) your session would fit best?

Knowledge, Skills and Experience

Water & Energy Strategy

Facilities, Technology and Innovation

Renewables, Supply & Storage

Flexible Demand / DSR

Other Utility

Session Title

Short Synopsis

Session Take Away

Intended Audience

Speaker details

Speaker full name

Job tile

Email

Please provide a link where speaker Bio and Headshot are hosted (e.g. linkedin profile)

Our visitors rate more highly presentations including the end client. If you are able to bring your client please enter her/his name, job title and company

Would like to enter the EMA Awards to be held on 21th November at EMEX?

No thank you

Yes please

How did you hear about us? (tick all that apply)

Association

Publication

from EMEX or the EMA

Search (Google)

From a colleague / speaker

Other

By clicking 'submit', you agree that the organiser (HEELEC LTD) and or the Energy Managers Association (EMA) can contact you with further information relating to your session proposal and other related show information.

Yes, I agree