Speaker Submissions

Speaker Submission Form - 2025

"*" indicates required fields

It is important to note that NORD often invites speakers to participate in a professionally moderated panel discussion to allow for a conversational-style session to include different perspectives. If you are invited to speak or moderate, though NORD may select your topic or a closely related one, it may be used for a panel discussion rather than a podium presentation as submitted in this application.

To have your proposal considered, please submit by 11:59 p.m. EST March 21, 2025.

Name*

First Last

Professional Credentials*

use N/A if not applicable

Please share your preferred pronouns so that we may respectfully refer to you :

She/Her/Hers

He/Him/HIs

Ze/Hir/Hirs

They/Them/Theirs

No Pronouns

No Preference

Other

Email*

Phone*

Company / Organization Affiliation*

Job Title*

Which rare disease do you represent?

How long have you been involved in rare diseases?

As we develop programs and resources to empower our diverse community, we ask participants to select the response that best reflects their race and or ethnicity:

If Not Listed

Name and Contact details for the best person to coordinate logistics if NOT yourself:

Name

First Last

Are you making a recommendation for yourself or on behalf of someone else?*

Name of Person I am recommending*

First Last

Email*

Phone*

Company / Organization Affiliation*

Job Title*

What rare disease do they represent?

How long have they been involved in rare diseases?

Upload or Submit Speaker Biography: Choose file for Upload or Submit your Biography below (Limit 500 words) If your presentation is selected and you are invited to speak, we will already have your biography on file for use in introducing you during the program.

Upload Biography

Accepted file types: doc, docx, pdf, Max. file size: 5 MB.

Biography (limit 500 words)*

Presentation Information

Topic area of interest

Proposed Presentation Title*

Presentation Summary*

Max 300 words

Would you recommend this presentation as a:*

Target Audience*

The NORD Breakthrough Summit audience typically includes leaders from industry, government, academia, research, and patient advocacy organizations. Attendees are always encouraged to explore any session of interest. Identifying who should attend your session will help attendees find the best sessions for their interests.

Learning Outcomes*

Please include up to three key objectives/takeaways that the audience can expect to learn from your presentation.

Please provide up to 3 examples of previous presentation experience, include links to videos if applicable*

Has this topic been, or will it be presented at any other conferences within the last or upcoming year?