Panel Submission Form

Submit your Panel Proposal for consideration. Selected panels will be provided registration waivers for all panelists. Special consideration will be considered for Panel Proposals that integrate city leadership with innovation and industry solutions, especially discussions that address cross-domain urban needs.

We recommend using this Microsoft Word document as a tool to assist in saving and completing your submission.

Organization

First name

Last name

Organization

Job title

Address

City

State

ZIP

Country

Phone

Cell phone

Fax

E-mail

Confirm e-mail

Website URL

Must start with a http:// or a https://, for example: http://www.acme.com

Organization size

Panel

Primary Application Area

Other

If Other selected above.

Panel/Session Title

Please describe your panel’s objective, along with what topics will be addressed.

Keywords

Enter up to 5 keywords separated by commas, for example: solar, photovoltaic, thin-film

Panel Description

200 words max.

Proposed Format

100 words max. Please describe the program (i.e., a series of sequential speakers, a panel of speakers with a moderator answering questions, etc.)

Proposed Panelists/Speakers

100 words max. Enter proposed speaker/panelist/moderator names and affiliations.

Organizer Comments

200 words max. Enter any comments that clarify your position and expertise in the proposed panel topic, and your professional relationship with the proposed speakers/panelist to clarify your confidence in assembling the proposed panel.