JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
ATD NYC Event Speaker Application Form
Thank you for your interest in helping us develop the members of our ATD NYC chapter. The goal of this form is to gather some initial information about your material and how our members can benefit from it.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Title
*
Your answer
Organization
*
Your answer
LinkedIn Profile
*
Your answer
Website, Multimedia Link(s) or other relevant Social Media
Your answer
Programming Offer Type(s)
*
Webinar or Presentation
Networking Event
Podcast
Workshop
Other:
Required
Topic Description
*
Your answer
What interactive elements will your session include to engage a virtual audience?
*
Your answer
How will our members be able to apply the subject matter?
*
Your answer
Is there a target audience for your content? If yes, please explain.
*
Your answer
Will you be selling services or products? If so, please explain.
*
Your answer
Have you been a featured guest at an ATD event before? If yes, please provide the (1) topic, (2) chapter, and (3) date.
Your answer
Is there anything else you'd like to share regarding why you'd be a great fit for ATD NYC programming?
Your answer
At ATD NYC we prioritize our members and sponsors for speaking and programming events. Which one are you?
ATD NYC Chapter Member
Sponsor
I'd like to inquire about membership
I'd like to inquire about sponsoring ATD NYC
Other:
Clear selection
I understand that ATD NYC is a non-profit organization and that by submitting this form, I am applying to offer a pro bono presentation benefiting the ATD NYC community.
*
Yes
Required
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
Forms
This form was created inside of ATD NYC.
Report Abuse
Terms of Service
Privacy Policy
Help and feedback
Contact form owner
Help Forms improve
Report