2019 Speaker Application
Thank you for your interest in the 2nd Annual SUPERCHARGED® Summit by Kwanza Jones. Please complete the form below for consideration to be a speaker.
Speaker's First Name *
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Speaker's Last Name *
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Email address *
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Occupation *
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Company/Organization *
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Instagram URL *
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Twitter URL
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Facebook URL
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LinkedIn URL
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Speaker Biography *
Please limit to 200 words.
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What would you like the SUPERCHARGED Summit participants to take away from your talk? *
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Talk Topic in mind? *
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Link to sample from previous speaking engagement? (if applicable)
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Speaker Representative (if applicable)
Manager, Agent, Assistant, etc.
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Speaker Representative Email Address
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