Speaker Requests

Thank you for your interest in having a UCB speaker at your event.

In order to help us facilitate your request, please complete and submit the form below at least 4 weeks prior to the event. We will review your request and be in touch. For questions, contact USCommunications@ucb.com.

Fields marked with * are mandatory.

Requestor

First Name

Last Name

Phone

Title

Organization

Event Organization

Organization Name

Event or Organization Website

Organization Type

Industry

Organization Details

Event Details

Event Name

Event Description

Subject matter of speaking engagement (please include other panelists, moderator info, etc. if relevant)

Request a specific UCB employee

Event Format (please note if this is a fireside chat, panel, presentation, moderator role, keynote, etc.)

Is there an audience Q&A?

Are slides required?

If yes, are slides made public to event attendees?

Event Date

Start time

End time

Response deadline (minimum 4-week lead time)

Venue and Logistics

Venue Name

Venue Location

Audience (select all that apply)

Industry

Health Care Providers

General Public

Media

Other

Funding

Event Sponsors

Is speaker registration complimentary?

Speaker Requests

Thank you for your interest in having a UCB speaker at your event.

Choose Country

UCB in the U.S.

Patients

Innovation

Sustainability

Newsroom

Contact

Speaker Requests

Thank you for your interest in having a UCB speaker at your event.

Choose Country

UCB in the U.S.

Patients

Innovation

UCB Worldwide

Sustainability

Newsroom

Contact