First Name *

Last Name *

Email *

Phone

Speaking Topic / Area of Expertise *

Bio (2-3 sentences)

LinkedIn or Website

Which AI Impact Academy event(s) are you available to speak at?

The Launch — May 14, 15 & 16, 2026

The Build — Aug 13, 14 & 15, 2026

The Close — Nov 12, 13 & 14, 2026

Session format

Solo Presentation

Panel Discussion

Q&A Only

Current audience size / platform

How did you hear about the forum ?

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