ADHDKC Speaker Interest Form
If you are a professional who is interested in speaking with one of our ADHDKC groups, please complete the following information.

We host a variety of speakers, such as behavioral/speech/occupational therapists, nutritionists, psychologists, school counselors, teachers, coaches and more. We are open to any professional who can provide information to our group members.

We serve adults with ADHD, parents of children with ADHD, and middle and high school students with ADHD.

All speakers volunteer their time, but we are able to link information about their business to our marketing of the meeting. You are able to share your business information, but cannot sell anything directly during your talk.

Due to the pandemic, all of our meetings are currently held online. We hope to resume in person meetings when it is safe to do so.

We look forward to working with you soon!
Email *
Professional name and title *
Preferred name to be used in promotions and during the event. Please include helpful pronunciation tips if it is not a common name to help with your introduction at the event. *
Business name and website (if applicable)
Cell phone number (to be used to message as needed before/during event) *
Please include a short bio of yourself to be used in promotion of the event and to introduce yourself at the event. 2 or more sentences is fine. *
Please list any social media handles you'd like me to use to share this talk. (ie Facebook @yourbusiness, Insta @yourbusiness)
Proposed topic(s) to cover (include working title if available) *
Speakers can choose the format of their talk: FBLive, Instagram TV, webinar or online meeting. The social media platforms allow for pre-marketing as well as people discovering them when scrolling but most people don't watch the full video length. Webinars seem most professionally run to many, but do not offer the ability for Q&A live - only questions posed in the chat box. Meetings online allow for everyone to discuss things, but at times there can be distractions when people turn on their microphone. Please note your preferred format(s): *
Required
Target group(s) to which you would like to present *
Required
Best days of the week for you to present your topic in the evening - daytime on weekends may be possible. *
Required
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