Speaker Details – The International Neuropsychological Society

Speaker Portal

Proposal ID(Required)

Speaker(Required)

Speaker's Name(Required)

First Middle Last

Speaker's Email(Required)

Picture of Speaker(Required)

Please upload a recent picture of speaker.

Drop files here or

Accepted file types: jpg, jpeg, png, webp, Max. file size: 5 MB, Max. files: 1.

Highest Degree(Required)

Speaker's Affiliation(Required)

Speaker's Bio(Required)

Please provide a brief bio highlighting your expertise in the topic.

Curriculum Vitae(Required)

Please upload a most recent copy of your CV.

Drop files here or

Accepted file types: pdf, Max. file size: 5 MB, Max. files: 1.

Conflict of Interest Form(Required)

Click here to open the Conflict of Interest form. Please fill out, save, and upload the signed copy below.

Drop files here or

Accepted file types: pdf, Max. file size: 5 MB, Max. files: 1.