SPEAKER APPLICATION
The Signature CEO Conference 2019 is the perfect opportunity to share your expertise with creative entrepreneurs from a diverse background of professions in the Washington, DC metro area and beyond. Our ideal Speaker is one who is a trailblazer, an influencer, and a successful entrepreneur for 5 plus years within or outside of the Creative Industry.

Applications are being accepted now for the 2019 conference which will be held OCTOBER 28, 29, 30 at THE RIVER VIEW OCCOQUAN, LORTON, VIRGINIA (15 miles outside of Washington DC).

Your input is valued and will be carefully considered and we will respond to your submission within (30) days of submission. We appreciate all submissions and if you are not selected for this upcoming program year, we welcome you to submit again for the following year.

Please complete the form below to submit your information and proposed topic details. If you have any questions, please contact us: info@thesignatureceo.com or (571) 402-4594.

NOTE: Before completing this application, please be sure to read our entire Speaker's Information Package - https://thesignatureceo.files.wordpress.com/2018/11/2019-speaker-package.pdf.


Should you be selected as a speaker, you agree to the following:
• Recording of your presentation
• A copy of your presentation will be provided to our attendees after the conference
• Usage of photos/video of you taken during your presentation
• Your presentation will NOT concentrate on creative artwork; the content must solely concentrate on business acumen and provide tangible actions for attendees as key take-aways
• Your presentation topic is one that has NOT been spoken to an audience within 12 months prior or after to The Signature CEO Conference.
• All "selected" speakers will receive a formal speaking agreement that must be signed by the Speaker and returned to the Conference Organizer.

Tara Melvin, Founder
The Signature CEO Conference | Perfect Planning Events
www.thesignatureceo.com
info@thesignatureceo.com
571.402.4594

Name *
First and last name
Your answer
Company Name *
Your answer
Your Professional Title *
Your answer
Email *
Your answer
Business Phone Number *
Your answer
Business Website *
Your answer
Business Social Media Page Links: *
Your answer
Business Address *
Your answer
Number of Years in Business or Your Professional Role. *
Your answer
Number of Years Speaking to an audience of 100 plus persons? *
Your answer
Biography -- Please provide a brief, 300-word narrative about your background, achievements, etc *
Your answer
List the names of organizations, event dates, and topics you have presented in the (12) months: * *
Your answer
Select the categories that best describe the content of your presentation: *
Required
What is the TITLE of the presentation that you would like to speak on at The Signature CEO Conference 2019? *
Your answer
Provide a (500) word summary of your presentation topic for The Signature CEO Conference 2019: *
Your answer
List the (5) learning objectives of your presentation topic for The Signature CEO Conference 2019? *
Your answer
Is this presentation being presented elsewhere in 2019? *
If YES, list the dates, events and locations below: *
Your answer
Include references from (2)organizations where you have previously presented; please provide organization name, contact name, email, phone:
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of The Signature CEO Conference. Report Abuse - Terms of Service