Speaker Request Form

First Name *

Last Name *

Email *

Phone *

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Business Name

Address

Website

Facebook Profile

LinkedIn Profile

Instagram Profile

Twitter Profile

Tiktok Profile

Clubhouse Profile

Short Speaker Bio (Written in 3rd Person 100 to 200 words)This question is required. *

Upload your Head Shot

Have You Spoken/Taught in front of a live audience before?

Yes

Where have you spoken in the past?

List of most recent speaking engagements

In 100-200 words tell us why you believe you would be a good speaker

Link to a video of you speaking.

This next section is about your presentation.

Program Title

What is the key takeaway/message of your presentation?

Program Description (100 - 200 words)

Where else have you given this speech?

What additional topics do you speak on?

What information do you feel would be valuable for the Speaker selection Committee to know?

Live2Lead Global2Local wants to work with professionals and speakers to raise awareness of topical issues relevant to growth and development, personally and for organizations. We desire to engage speakers who relatable and engaging, who project an image of confidence. We ask you abide by an upstanding code of conduct and comply with our standard of quality, which includes adhering to the deadlines and content of materials. We want to help you succeed because when you succeed, we all win. If my application is accepted, I agree to meet all conference timelines, deadlines and standards. I agree not to change content or presenters without the written consent of Live2Lead, Global2Local. I understand that I am responsible for all travel and hotel costs. I agree I will not sell from the stage or make offers to the audience. *

Yes

HAVE A QUESTION?

We’re here to serve! Contact Kristan Getsy at
[email protected] for more information and specific questions about attending this event.

INTERESTED IN BEING A VOLUNTEER?

Apply here to help us make Live2Lead Global2Local happen! We can always use happy faces to help make this experience even better.