Speaker Application

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* 1. What is your name? What company do you represent?

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* 2. Please provide your email and best phone number to contact you.

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* 3. What is the title of your presentation?

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* 4. Please provide a summary paragraph describing your presentation (max. 150 words).

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* 5. Please describe how your presentation fits the "Empowered Women Succeed" program.

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* 6. What are three things attendees can expect to learn from your presentation?

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* 7. Please list your credentials or experience related to the proposed topic, including the name, phone number, and email address of two references.

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* 8. Please provide a link to a 2-3 minute speaker video, and a headshot.

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* 9. Please provide links to your social media pages (LinkedIn, Facebook, Twitter)

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* 10. Please provide a 75-word bio. 

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