Bio & Headshot
Information Request Form

* Indicates required information

Full Name *:

Pronouns:

Designations:

Reason for Submission * ( blog author, award winner, volunteer profile, etc). :

Short Bio * (up to 250 characters with spaces):

Long Bio * (up to 750 characters with spaces) :

Quote (if instructed to provide one) (up to 100 characters with spaces):

Please ensure your headshot is in high resolution and colour
Sizing: All images should be in a square shape (1:1 ratio) with at least 300 ppi/ inch
Please ensure your face is visible

Headshot *:

Security Question: