Become a PJSA Speaker
Are you a professional speaker seeking representation with PJSA? Please complete this application, and we will contact you if we feel your qualifications match our organization's focus.
Contact Info
Please fill out the following information so we can get back to you with more details.
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Speaker Details
Please tell us a about yourself and your areas of focus.
Biography (250 word limit)
Your answer
List of Topics (3-5)
Your answer
Media
To help attract more requests, we ask that you include a link to a video.
Sample Video(s) of You Speaking (website links)
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Google Apps @ Miami University. Report Abuse - Terms of Service