Guest Speaker Registration Form

Guest Speaker Registration

Please complete the form below to volunteer as a guest speaker on our organization's 2020 Community Calls.
Your Personal Details
Name (contact person if submitting on behalf of an organization):*

First NameLast Name
Organization Name (if applicable)
E-mail:*
Phone Number:

Area CodePhone Number
Preferred Method of Contact*

CallTextEmailAny
Address (optional):

Street Address

Street Address Line 2

CityState

Zip Code
If you did not insert your address above, please insert your nearest Metropolitan Area (ex: Houston, Detroit, Los Angeles, Chicago, etc.)
Check all that you have access to:*

ComputerCell PhoneInternet
Guest Speaker Preferences
Frequency
Please select "permanent" only if you intend to provide a presentation at each weekly meeting. Permanent presentations are limited to 10 minutes.
Please indicate which topics you are interested in presenting (check all that apply):*

Food SecurityCOVID-19 Disease Trends & FindingsHealth InsurancePrimary Health Care2020 CensusPrison Reform/Prisoner ConditionsStudent Loan DebtDigital DivideEducationRetirementFinancial Wellness/CreditHealthy LifestylesEntrepreneurship/Business ResourcesLegal ServicesMortgage/Rent/Property Tax ReliefTransportation/Delivery Services for the CommunityGrants/ScholarshipsCOVID-19 LegislationPromoting a Product/Service/Minority-Centric OrganizationOther
Provide a title and description of your presentation that can be used in marketing materials:*
Are you familiar with/have you used Zoom Video Conferencing before?*

YesNo
Please upload your bio or your company's background info (optional)

Upload

Cancelof
Please upload any materials you would like to share on the screen during your presentation (optional)

Upload

Cancelof
When do you prefer to present? (leave blank if no preference)

MonthDayYear
Date
Would you like us to poll participants during your presentation? Please provide polling questions to us in the uploads above or via email to info@mifreedomcf.org

NoYes
Would you like us to feature you/your organization in our partner spotlight?

NoYes
Please refer to the following for important access info regarding the meetings.

You can subscribe to text alerts for this meeting by clicking here: https://slkt.io/6qn8 or texting "mifreedom" to 8449292811
By submitting this form you agree for your information to be added to our email list.
Thank you, please forward any questions you have to us via email to info@mifreedomcf.org
Please verify that you are human*
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