Please complete this application to be considered for the program starting May 1, 2024.

Applications will be reviewed on a rolling basis and notifications will begin on April 2nd.

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* 1. Preferred name & pronouns:

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* 2. Are you available on August 9th and 10th to be in Dallas, Texas?

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* 3. Please describe your experience as a speaker, including any speaking experience you had before you became a dietitian. Describe your current situation and how speaking (for money or not) fits in. Please include your speaking topics/areas of expertise. No wrong answer, just trying to get a feel for where you are in your speaking so far.

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* 4. What is the most recent presentation you gave?

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* 5. Give me an idea of your speaking fees - either what you generally get paid or what you've been paid recently. What is the most you've ever been paid for one event (and what was it)? How much were your total speaking fees (total of all payments for speaking, not including travel costs you were reimbursed) last year or in the past 12 months? Was this typical for you or better or worse than usual?

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* 6. Please describe your challenges related to the business of speaking.

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* 7. Tell me about your career goals, speaking goals, and how you envision speaking fitting into your career in the future.

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* 8. Any additional information or insights you believe make you a good candidate for this program or would be helpful for me to know when considering your application?

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* 9. Link to your speaking web page (or homepage):

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* 10. Preferred email address:

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* 11. Preferred phone number:

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* 12. Mailing address:

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