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eWomenNetwork Conference Speaker Application

Please complete all of the information requested below to be considered as a speaker for the eWN ICON 2021.

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1. Please provide your full name and location below.

Full Name

City

State/Province

Postal Code

Primary Phone

Cell Phone

Email Address

Website

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2. What is your affiliation with eWomenNetwork (check all that apply)?

eWomenNetwork Member

eWomenNetwork Platinum Member

eWomenSpeakersNetwork Member

eWomenSpeakersNetwork Pro Member

Premier Success Coach

Celebrity Science

S.O.A.R. Program

Non-member

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3. Please tell us about your primary area of expertise.

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4. What specific topic would you like to present. Please list in order of importance.

1. Preferred Topic

2. Secondary Topic

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5. Please describe your preferred topic (#1) in 135 words or less.

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6. Please provide four to six take-away points from which attendees will benefit by attending the session on your preferred topic (#1).

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7. We would like to see a video that showcases your speaking/presentation skills. Please enter below the web address or URL where we can watch you in action. NOTE: Speakers without a speaker demo video are not considered.

URL:

Comments:

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8. Please provide us with two of your most recent speaking references.

Speaking Reference #1

Contact Name

Company or Event Name

Phone Number

Email Address

Location of speaking event

Identify whether it was a keynote or breakout session

Number of attendees

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9. Speaking Reference #2

Contact Name

Company or Event Name

Phone Number

Email Address

Location of speaking event

Identify whether it was a keynote or breakout session

Number of attendees

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10. Are you a published author?

Yes

In process of writing my first book

Title(s) of book(s)

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11. Are you currently registered for the 2021 Conference?

Yes

Plan to register

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1. Please provide your full name and location below.

Question Title

2. What is your affiliation with eWomenNetwork (check all that apply)?

Question Title

3. Please tell us about your primary area of expertise.

Question Title

4. What specific topic would you like to present. Please list in order of importance.

Question Title

5. Please describe your preferred topic (#1) in 135 words or less.

Question Title

6. Please provide four to six take-away points from which attendees will benefit by attending the session on your preferred topic (#1).

Question Title

7. We would like to see a video that showcases your speaking/presentation skills. Please enter below the web address or URL where we can watch you in action. NOTE: Speakers without a speaker demo video are not considered.

Question Title

8. Please provide us with two of your most recent speaking references. Speaking Reference #1

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9. Speaking Reference #2

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10. Are you a published author?

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11. Are you currently registered for the 2021 Conference?

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12. What should we know about you that we didn't ask?

8. Please provide us with two of your most recent speaking references.

Speaking Reference #1