WELL Summit NYC 2019 Speaker Application
With an emphasis on education, WELL Summit provides a 360-degree perspective on wellness through our thought-provoking panels and interactive breakout sessions. We look for industry-leading, thoughtful, fascinating speakers to educate, empower and illuminate our community at our nationally recognized Summit. Examples of topics we look to cover: Foundational Wellness, Beauty, Ayurveda, Building a Wellness Business, Nutrition, Financial Wellness, Empowerment, Mind, Body and Spirit, Women's Health/Cycles, Healthy Home, Mental Health, Motherhood and all aspects of living WELL. If you are a leader in your niche, have a message that resonates and believe you can educate, support and engage our tribe, please fill out the form below BEFORE January 31, 2019, to be considered.

*IMPORTANT NOTES: Individual emails to the WELL Summit team regarding speaking spots will not be considered—all speaker applications must be submitted through our online form. Our speaking committee will meet and review all applications by February 15, 2019. Invitations to speak will be offered by February 28, 2019, with the goal of providing our attendees with a broad spectrum of topics from industry thought leaders. From there, we will reach out as needed to additional speakers who may be able to best contribute to this year's theme and content.

Email address *
Name *
Your answer
Company Name
Your answer
Website *
Your answer
Phone Number
Your answer
Address *
Your answer
How would you describe yourself? Please choose from the following: *
Are you available during the below dates? *
Required
Have you attended a WELL Summit before? If so, which ones? *
Required
Please list up to three other events, conferences and summits you've spoken at, including the themes/topics you've presented (answer n/a if you haven't spoken before). *
Your answer
Link(s) to Portfolio, Speaker Reel or Video of Speaking
Your answer
What is the largest number of people you've spoken in front of (n/a if this would be your first event)? *
Your answer
We believe holding the attention of a large group and delivering content in a concise and engaging way is a craft. Have you completed either of the following? *
Please provide us with names and email addresses of up to three references we can contact if needed (we will notify you before contacting them). *
Your answer
Proposed Session or Panel Title *
Your answer
Proposed Session or Panel Description *
Your answer
What is the best format for this content? *
Please enter what materials you need to deliver this content (PPT setup, sound equipment, yoga mats, etc.). *
Your answer
Which of the below tracks does your content best fit in? *
Which of the following categories does your content best fit in? *
What three takeaways would you want to leave attendees with? *
Your answer
What specific qualifications, education and/or certifications do you have to lead this session? *
Your answer
What is your unique value-add? Why are you the best person to lead this session? *
Your answer
List up to five places your work has been published.
Your answer
Instagram Handle
Your answer
Facebook Link
Your answer
Twitter Handle
Your answer
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This form was created inside of Well Summit.