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2026 National Black Men in Leadership Speaker Interest and Inquiry Form

Purpose
To empower, celebrate, and elevate Black men by creating a platform for leadership, connection, and opportunity.

Mission
To equip Black men with the knowledge, resources, and networks needed to lead with purpose and strengthen families, careers, and communities.

Goals
-Develop and expand leadership pathways
-Strengthen professional and community networks
-Promote economic advancement and workforce growth
-Highlight and celebrate positive representation
-Provide solutions and strategies to overcome challenges

Audience
Designed for Black men of all ages and leadership levels, and inclusive of youth, allies, community organizations, professionals, and partners.
1.First and Last Name:
2.Title / Role:
3.Organization / Affiliation:
4.What industry(s) best represent your current role or organization? (Select all that apply)(Required.)
5.Email Address:
6.Please provide your LinkedIn profile URL.
7.Please upload your professional bio.(Required.)
No file chosen
8.Please upload your professional headshot or photo.(Required.)
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9.Provide the title of your session.
10.Provide an overview/abstract of your session with key objectives outlined.
11.How does your message align with the event’s mission, goals, and audience?
12.Intended Format:
13.What is the Session Level?(Required.)
14.Have you spoken at similar events before?
15.Please list 2–3 previous speaking engagements.
16.Please indicate whether your presentation can be provided to attendees.
17.Are you available for promotional or pre-event content (e.g., interviews, social posts)?
18.Will you need any reasonable accommodations? If so, please explain.
19.If your session is not selected, would you be open to participating in another role (e.g., moderator, panelist, etc.)?
20.Additional comments, questions, or requests: