Speaker Request Form Step 1 of 27 3% Name First Last Email Phone 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 ShotMax. file size: 350 MB. Have You Spoken/Taught in front of a live audience before? Yes No 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? Do you agree(Required)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 No Δ
