About You

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* 1. Presenter Name

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* 2. Contact Name (If not speaker directly)

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* 3. What Is Your Email Address:

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* 4. Contact Number (please include area code)

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* 5. Are you an Australian Citizen or Permanent Resident, New Zealand Citizen or otherwise have the right to work in Australia?

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* 6. In 2020, we will be hosting a series of Coaches' Conference events across Australia. Please select all locations you would be available for.

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* 7. Please provide a brief biography, including topic credentials and a list of previous speaking engagements.

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* 8. Please provide a formal speaker biography to be used for marketing purposes

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* 9. Please upload a head shot to be used for marketing purposes

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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* 10. Suggested Presentation Title

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* 11. Key focus areas of presentation

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* 12. Key Outcomes for audience

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* 13. Style of session

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* 14. Please provide your social media links

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* 15. Please provide your website (if applicable)

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* 16. Please provide any links to any of your videos or presentations

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* 17. Please attach examples of work (PDF or Word documents)

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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* 18. Is there any other information you would like to share with us?

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