2021 Energy Healing Conference Speaker Application

Thank you so much for your interest in presenting at our one of our events. I am honored to have you consider collaborating with us. I appreciate your time, dedication and support in helping us make the world a better place.

Most Warmly, Tammy Anderson Ward (Conference Producer)
First Name*
Last Name*
Preferred Email*
example@example.com
Cell phone with text.*
Business Name*
Website*
Facebook Page
Instagram Page
Why do you want to present?
Why do you want to present?*
Please provide a 100 word or less bio written in the third person. *
Please provide a 6 word or less class title.
Please provide a 50 word or less class description*
Please submit a short 50 word description for us to learn what your presentation would be about.*
Number of social media followers*

under 1,0001,000-2,5002,500-5,0005,000-10,00010,000 +
Email List*

under 1,0001,000-2,5002,500-5,0005,000-10,00010,000 +
Please choose what option you are interested in speaking at. Choose from and an In-person event, be one of our Facebook Live Series, or both!*

In-person eventFriday Facebook Live SeriesI would like to speak at both.
In-person events please lis all areas where you would like to speak at. (Please know the location listed do not mean the event will be in that exact town but, could be in that surronding area.)

Salt Lake City, UTSandy, UTLayton, UTProvo, UTLogan, UTSt. George, UTMesa/Phoenix, AZPocatello, IDIdaho Falls, ID
Are you willing to pay to present at an event to help pay for production expenses and the time/support of Hope Haven Events?*

YesNo
Are you willing to promote and help support this event by emailing your list, posting on your social media pages about you speaking at the event?*

YesNo
Submit two references. Please include their name, email, phone number, and how they are associated with you. *
I understand that this is an application is for in-person events and the Friday Facebook Series that is being done on the Energy Healing Conference's Facebook page. The Series is done Live. I understand by completing this form it does not guarantee me a speaking spot. Selected speakers will be notified by email, phone, text, or messenger. Speaker details are only available to those who are chosen.*

YesNo
Should be Empty:

Thank you so much for your interest in presenting at our one of our events. I am honored to have you consider collaborating with us. I appreciate your time, dedication and support in helping us make the world a better place.