2021 Speaker Sign Up Form
This form is for professionals interested in speaking to High School Students in the IAM Mentoring Program.

Since 2011, the Influencing Action Movement (IAM) has worked to influence individuals to take action through effective communication, mentorship, community service, and networking. We run different programs throughout the year targeting various demographics enabling them to take actions that will create and build sustainable wealth in their communities, reduce violence, and develop healthier relationships. One of those programs is IAM Mentoring for High School Students.

We are constantly seeking professionals of all ages from varied backgrounds and industries to share their experiences and advice with our students.

This year, we are asking speakers to engage with our students on the IAM Mentoring Mobile app and deliver a "Mentoring Moment". Mentoring Moments are 2-4 minutes videos answering a specific question in a way that offers advice and a "teachable moment" to our students.

Use the below form to sign up to deliver a "Mentoring Moment". Once you've completed the application, you will be contacted in 2-3 business days with additional instructions to include the question you will be asked to answer and how to submit your video.

Thank you in advance!

Additional questions and inquires can be submitted to fharris@influencingaction.org.
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Company/Organization/Affiliation *
Title/Occupation *
Email Address *
Cell Phone Number *
City *
State *
Please check all that apply *
Required
What topic would you be best suited to give advice on? *
Can you download the IAM Mentoring Mobile App to your cell phone? *
The IAM Mentoring Mobile App is available in the Apple and Google Play store on your cell phone or tablet.
Can you commit to engaging with our students (answering questions and responding to comments) on the IAM Mentoring Mobile App for ONE day? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of hitouchinc.com. Report Abuse