EROC Speaker Series - Speaker Interest Form

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Thank you for your interest in getting involved with our Speaker Series! It is important to us to be able to work with a diverse, intersectional, and talented group of Speakers, in line with our Centering the Margins framework.

At this time we are not particularly looking to expand our program by bringing on additional Speakers, but we would love to hear from you and will record your interest so that we can reach out when the time comes.

Name *

Pronouns (feel free to put "NA" if you would not like to share) *

Location (City, State, Country) *

Email *

Please share a bit about yourself and why you are interested in possibly joining EROC's Speaker Series. *

What topics/areas of interest/skills/tools would you potentially bring to the Speaker Series? How does your perspective align with EROC's Centering the Margins framework?

What questions do you have for EROC at this time?

How did you hear about the Speaker Series? *

EROC Social Media (Facebook, Twitter, Instagram, LinkedIn, Other)

From a colleauge/friend

Internet Search

Attending other EROC or Civic Nation event

From one of the Speakers

I'm not sure!

Other:

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