If you are human, leave this field blank.
What is your name, email address, phone number, and website(s)?
Please include a link to a headshot photo of yourself. In addition, please send us your bio.
What interests you most about speaking at a Conscious Networking Event?
What are your favorite topics to lecture on?
What topic or topics do you have in mind for the presentation you wish to give?
What do you feel the title or titles could be for the presentation(s) you want to give?
How would you fill 30 minutes? And how would you fill 45 minutes?
How many years of experience do you have with public speaking and approximately what number range of speaking engagements have you had in the past?
What are the typical audience sizes at your speaking engagements in general?
What are three main takeaways from your referenced talk(s)?
Do you have books, merchandise, and/or services to sell? If so, what are they? How would you market them at the event?
Please list the ways you would promote your presentation prior to the event:
Please send us a 3 to 10-minute video of a lecture you have given in the past which demonstrates your speaking style and content. Links to any other material of yours (audio and/or video) would also be helpful.
Do you have written and/or video testimonials about your work, including your work as a speaker, that you can share with us?
What are your Twitter, Facebook, Instagram, or other social media pages? How many followers do you have for each?
What other information about yourself would like to share with us?