Sign up to be a Speaker

If you are interested in being added to our growing list of scientists who do outreach to faith communities, please fill out the form below. Your information will be sent to Greg Hitzhusen, coordinator of the Scientists’ Speakers Bureau, and Chris Jensen, our website facilitator. Greg will let you know if any additional information or revision is required in order to complete your bio.

Your Name (required)

Your Email (for SSB administration only - your email will not be publicized - a contact form will be linked to your speaker profile to allow potential hosts/audiences to contact you) (required)

Title(s) and professional affiliation(s): educational institutions, non-profit organizations, professional associations, etc. (required)

Mailing Address (for SSB administration only - will not be shared on the website) (required)

Telephone number (for SSB administration only - will not be shared on the website) (required)

URL/link to personal website detailing your work, if any (optional)

Short summary description (500 characters or less) of your expertise and the topics you are qualified to address as a speaker. Please write in the third person. Your name and title and affiliations will already be listed above this sentence, so no need to include them here; the general topics checked below will also be included in your speaker profile after this sentence. (required)

Extended bio (4500 characters or less) further describing your background in EJ, outreach, or faith community work, disciplines in which you’ve been trained, topics you are qualified to speak about, or other information that describes the outreach you can offer to faith communities. Please write in the third person. (required)

Please check off all of the topics that you are both willing and qualified to speak about (required):

Other topics:

Please list your faith community/denominational affiliation(s), if any. (optional)

Please attach a photo as an image file (.JPG, .PNG, or .TIF) of no larger than 5MB that can be used to create a headshot of at least 250 x 250 pixels. If you are unsure about how to meet these specifications, any picture where your face is not too small taken with a modern digital camera will likely work. An ideal image would be one of you speaking! (optional on this form, but we need to get a photo eventually)

Have an outreach profile describing the work that you have done with faith communities? You can cut-and-paste your story here: (optional)

Additional comments or questions (optional)

To assure that you are a human and not a machine, please type the characters listed above into the box below:

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