Speaker Information Submission Form » Norman Fixel Institute for Neurological Diseases

AD+ Think Tank Speaker Profile and Travel Details Form

Please use this form to submit your travel details, headshot, and short biography for the 2026 Alzheimer’s & Neurodegenerative Disease Co-Pathology Think Tank. This information will help us prepare event materials and finalize logistics. For any questions or concerns please contact mallorybachmann@ufl.edu.

Name(Required)

First Last Professional/Academic Credentials

Email Address(Required)

Current Job Title/Position(Required)

Institutional Affiliation(Required)

Date of Arrival

Time of Arrival (Gainesville)

Date of Departure

Time of Departure (Gainesville)

Preferred Headshot(Required)

Max. file size: 125 MB.

Presentation Title:(Required)

Short biography (2–4 sentences on your research focus or professional background)(Required)

Please note any dietary restrictions we should be aware of.