Your InformationName* First Last Professional Credentials*Email* PhoneCompany / Organization Affiliation*What rare disease do you represent?*How long have you been involved in rare diseases?*Less than 1 year1-5 years5-10 yearsMore than 10 yearsAre you making a recommendation for yourself or on behalf of someone else?*I am recommending myselfI am recommending someone elseRecommended Speaker InformationName* First Last Email* PhoneCompany / Organization AffiliationJob TitleWhat rare disease do you represent?*How long have you been involved in rare diseases?*Less than 1 year1-5 years5-10 yearsMore than 10 yearsSpeaker BiographySpeaker Profile Photo Upload Biographyor Submit Your Biography HereMaximum 300 wordsPresentation InformationTopic Area of Interest*Innovation in Diagnosis and Diagnostics ToolsNovel Models of Treatments and Clinical CareAdvances in Clinical Trials, Drug Development and CommercializationBest Practices and Unique Programming at Patient Advocacy OrganizationsFresh Models in Stakeholder CollaborationPatient Voice: Engagement and Experience in the Rare Disease SpacePathways to Patient Access: Drugs Pricing, Insurance, Healthcare and MoreOther (not listed)Proposed Presentation Title*Presentation Summary*Max 300 charactersWould you recommend this presentation as a*PlenaryBreakout SessionDiscussion Group/Networking Session TopicTarget Audience for your PresentationAttendees 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 OutcomesPlease include up to 3 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 applicableHas this topic been, or will it be presented at any other conferences within the last or upcoming year?Co presenters/ Additional Speakers: if you have recommendations for other speakers at the NORD Summit, please submit this form for yourself and each additional person.Co-presenter or additional panelist recommendationsFirst NameLast NameProfessional CredentialsUser EmailPhoneCompany / Organization AffiliationJob Title Consent*As a potential speaker for the NORD Rare Diseases and Orphan Products Breakthrough Summit I agree: - To participate in a virtual panel prep meeting with all speakers in the session about eight weeks prior to the conference; (45-minute time blocks will be arranged via calendar invite) - To be available for a recording of the session in its entirety about 4-5 weeks prior to the conference (90-minute time blocks will be arranged via calendar invite). - To use the NORD branded slide deck for any presentation decks that need to be created; - To register in advance for the conference (no later than October 11th) so that accurate platform log-in information can be communicated appropriately (Complimentary registration codes will be provided); - To attend the live broadcast of my session during its designated scheduled time to participate in text-based Q&A chat with the audience (login credentials to the platform will be provided closer to the event dates); - To respond within 72 business hours to all emails' - To notify NORD as soon as possible if my participation in the conference is no longer possible so that an appropriate replacement may be identified; I agree to the policy
