Ignite® Brisbane Speaker Submission Form
This form is to submit your application to speak the upcoming IGNITE® Brisbane event.

Applications close March 18th @8.00pm

EVENT DETAILS
Date: April 10, 2019
Time: 6.00pm - 9.00pm
Venue: Kedron Wavell Services Club, 21 Kittyhawk Dr, Chermside QLD 4032

This form can be edited by applicant after submission until applications close..

PLEASE NOTE THAT DETAILS OF YOUR TALK CANNOT BE CHANGED AFTER APPLICATIONS CLOSE.

Email address *
Conditions and guidelines? *
Required
Speakers guest tickets
Speakers are asked to take a vested interest in the event ensuring minimum audience numbers and event budget. Tickets purchased by speakers can be gifted or sold. In return for this commitment speakers will have a high quality edited video (shot by a professional production company) that can be shared or embedded on their own website. Speakers also have the opportunity for further connections via a specific networking and display area.
YOUR PERSONAL AND SOCIAL MEDIA DETAILS
First Name *
Your answer
Last Name *
Your answer
Mobile Phone
Your answer
Town/City/Area *
Your answer
Post Code *
Your answer
Website
Your answer
Facebook
Your answer
Instagram
Your answer
Twitter
Your answer
LinkedIn
Your answer
YOU AND YOUR TALK
Title of your talk? *
Your answer
What story, lesson or message would you like to share with the audience? *
Think of this as an introduction to your talk. Keep it brief and interesting. DO NOT INCLUDE information that directly identifies you. Please write in the 3rd person
Your answer
Give us a few tags that would be relevant to your talk. *
ie: skateboarding, inspirational, climate change, technology
Your answer
A short bio about yourself *
Please make it relevant to the talk and in the 3rd person (If successful this will be used for promotional purposes). Please write in 3rd person.
Your answer
Provide video link of you telling us about you and your talk (Max 1 min)
This can be just a talking head video or a snippet of a presentation delivered and uploaded to video sharing site eg YouTube, Dropbox, Google Drive etc
Your answer
Provide link to high resolution image of yourself
Image should be minimum 500px X 500px (300dpi). PLEASE NOTE : Image will only be used for promotion purposes if your application is successful.
Your answer
OTHER DETAILS
Have you attended an IGNITE® event? *
Have you spoken at an IGNITE® event? *
If yes provide details and link to talk
Your answer
What is your favourite IGNITE® talk?
Please provide link to talk
Your answer
A copy of your responses will be emailed to the address you provided.
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