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Speaker Inquiry Form
Please complete the speaker inquiry form to receive a quote regarding availability and costs.
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Contact Name
*
Your answer
Contact Email
*
Your answer
Name of Your (Company / Organization / Institution / Media / Publication)
*
Your answer
Which best describes you?
*
Choose
Government
Enterprise / Fortune500
Startup
Non-Profit Organization
Community Organization
Academia Institution (K-12 / College / University / Bootcamp)
Media / Publication
Event Name
*
Your answer
Speaker Inquiry for:
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Choose
Conference / Summit
Corporate
Career Day
Workshop
Article
Radio Show / Podcast
TV Show / Webisode
Will you record this event?
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Yes (Applicable Fees apply)
No (No additional Fees)
Event Date
*
I require at least 30 Days advance for keynotes & workshops / 14 Days advance for panel participation
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/
DD
/
YYYY
Event Location
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City, State, Country / Venue / Website (if online)
Your answer
Event Description
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Please provide a summary of event, audience, and anticipated participation.
Your answer
What would you like me to speak about?
*
Women's Issues (Gender Gap / Equal Pay / Advancing Women in Leadership / Negotiating Salaries)
Entrepreneurship: Accessing Capital / Building Teams, Community, Partnerships / Navigating the Startup eco-system / From Concept to Coins (Ideation to Validation & Launch)
Emerging Technology: Web3 / NFTs / Blockchain / Artificial Intelligence
Technology / Coding / User Experience Design / Product Design
Women in Technology
Diversity Equity Inclusion: Unconscious biases / Building Inclusive Teams & Communities / Inclusive Language
Navigating Careers in Technology / Transitioning Careers
Creative: Design / Branding & Brand Voice / Creative Story-telling
Youth Focused ( Careers in Technology & S.T.E.A.M. / Navigating Education / First-Generation College Student)
Life Hacks: Mindfulness & Wellness / Burnout / Confidence / Overcoming Setbacks / Time Management / Crisis Management
Required
Length
*
Choose
30 minutes
1 hour
1 Day
Workshops & Series
Travel & Accommodation
*
Choose
Yes
No
Maybe
N/A
Is there a budget?
*
Yes
No
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