Speaker Intake Form "*" indicates required fields Speaker InformationName* Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last Suffix Job Title* Company/Organization* Email* Phone*Twitter Handle LinkedIn Profile Are you a Penn or Wharton alum?* Yes No Please provide your affiliation (i.e., W'98, WG'04)* Additional ContactsDo you have a day-of contact with whom we should coordinate?* Yes No Day-of Contact Name First Last Day-of Contact Email Day-of Contact PhoneDo you have a PR or media contact with whom we should coordinate?* Yes No PR/Media Contact First Last PR/Media Email PR/Media PhoneEvent InformationEvent Title*2nd Annual Business and Generative AI Workshop – September 5-6, 2024David Blitzer Guest Speaker Event – September 26, 2024A/B Testing Workshop Series – October 8, 10, 15, 17, 22, 29, 2024Research & Education Symposium – October 11, 2024Wharton Neuroscience (WiN) Convening – October 32, 2024Wharton Neuroscience (WiN) Summit – November 1, 2024Wharton Sports Business Summit – November 8, 2024Academic Sports Analytics Seminar – November 15, 2024Applied Insights Team (AIT) Fall Convening with Wharton People Analytics – November 22, 2024AI & Analytics Accelerator (AAA) Summit – December 6, 2024Sports Owners & CEO Summit – December 10, 2024Women in Data Science (WiDS) @ Penn – February 14, 2025Applied Insights Team (AIT) Spring Convening with Wharton People Analytics – March 28, 202512th Annual People Analytics Conference (PAC12) – April 10-11, 2025Race and Sports – April 23, 2025AI at Wharton Conference (Philadelphia) – May 23, 2025OtherEvent Title* Event Date(s)* For this event, are you:* Presenting a talk Joining a panel Providing remarks Talk or Session Title* Talk or Session Description*Speaker Headshot*Accepted file types: jpg, png, Max. file size: 100 MB.Speaker Bio*Max. file size: 100 MB.Media ReleaseAs part of my appearance at the Wharton School, I give permission to record me, including images, audio, presentation and comments, with my name included, for use in electronic and print publications, and the School’s educational and engagement programs for potential and enrolled students, alumni and Friends of Wharton and Penn. The Wharton School may use these reproductions without further examination by me. I waive all personal claims, causes of action, liabilities, or damages against the School arising from or in connection with my performance or appearance.I have read the above release and* Agree Decline Media CoverageThe Wharton School tends to allow media coverage of all public events. Media outlets include, but are not limited to internal independent media such as Knowledge@Wharton, Wharton Magazine, Wharton Journal, Daily Pennsylvanian and external independent media both local Philadelphia and beyond. The Wharton Media Relations Office is the direct liaison with the speaker/speaker’s office to ensure the maximum level of comfort with any public coverage of the event.I have read the above information and* Agree to allow INTERNAL Wharton media coverage of my comments and appearance at this event. Agree to allow EXTERNAL INDEPENDENT media coverage of my comments and appearance at this event. Decline to allow media coverage of my comments and appearance at this event. CAPTCHA Δ