HerStory Speaker Nomination

HerStory Speaker Nomination
PART 1 - ABOUT THE NOMINEE

Please complete some information about the person you'd like to nominate as a speaker for the HerStory Conference, or YOURSELF if you would like to be considered as a speaker.
Please complete this form to nominate a speaker for a future HerStory Conference (or yourself). Please see our speaker nomination FAQ for more information and criteria.
I am nominating myself
If you're nominating yourself, have you spoken before at a HerStory Conference?

Yes No
First Name of Speaker
Last Name of Speaker
EMAIL
example@example.com
PHONE NUMBER

Area Code Phone Number
LOCATION (CITY/TOWN AND COUNTRY). WHERE IS THE NOMINEE BASED?
WHAT IS THE NOMINEE'S OCCUPATION?
WHAT HERSTORY CONFERENCE WOULD THE NOMINEE LIKE TO ATTEND?
WHY ARE YOU RECOMMENDING THEM AS A SPEAKER FOR THE HERSTORY CONFERENCE? OR WHY WOULD YOU LIKE TO ATTEND AS A SPEAKER?
WHAT WILL THE TITLE OF YOUR PRESENTATION BE?
WHAT CATEGORIES WOULD THIS SPEAKER FALL UNDER?

Health and Wellness Business and Entrepreneurship Family and Relationships Social Justice Spirituality Creativity
HAS THIS NOMINEE SPOKEN BEFORE PUBLICLY?

YES NO DON'T KNOW
IF YES, WHERE?
Please provide any links to online video/audio that feature the proposed speaker:
Please provide any links to articles, blogs, or website of the proposed speaker:
HOW DID YOU HEAR ABOUT THE HERSTORY CONFERENCE?
Before submitting your nomination to us, please review how HerStory processes the personal information you provide:
- We will evaluate your nomination and our review process will share this information with the HerStory team, and third parties selected to review speaker nominations.
- There is no deadline for nominating a speaker. If you've submitted a nomination, it will then stay in our database and it will be considered for future HerStory conferences.
- Due to the volume of nominations we receive worldwide, we will process and review these forms on a first-come basis. We will endeavor to respond personally to each suggestion, but sometimes this is not possible.
- Your information will be processed in accordance with the HerStory privacy policy.
- Please reach out to info@herstorycircle.com if you have any concerns with HerStory managing your data.
By ticking this box I consent to HerStory processing my information as detailed above:

Yes, I consent
Should be Empty:

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