WEX Virtual 2021 Speaker Application

WEX VIRTUAL | July 31, 2021

SPEAKER/PANELIST/MODERATOR APPLICATION

Complete the form below by July 1st, 2021, to be considered as a speaker/panelist/moderator for WEX Virtual.

Speakers, Moderators and Panelists will be notified no later than June 15th if they have been selected to participate.

WEX Virtual will take place on Saturday, July 31, 2021 from 11am-4pm EST. Please only apply if you will be available for the entire duration of the event.

Speakers, Moderators and Panelists receive promotion on the WEX website. They will also be promoted through all WEX social media channels. There is no fee, payment or stipend associated with being selected to participate in any of these roles.

All speakers must apply via this form. We do not accept applications by email or phone and are unable to schedule phone appointments with individual applicants due to the large number of applications we receive.

Thank you for your interest in #WEXvirtual!
SPEAKER INFORMATION

Please complete the below section with speaker's information.
Speaker's Name *

First Name Last Name
Company Name *
Title *
If other, what is your title
City you are based in
State you are based in *
Distance to Event *

less than 50 miles 50-100 miles 100-250 miles 250+ miles
Your Website
Current Instagram Following *
Instagram LINK
PROVIDE THE LINK EX: https://www.instagram.com/womenempowerx/
Facebook LINK
PROVIDE THE LINK EX: https://www.facebook.com/womenempowerx/
TikTok LINK
PROVIDE THE LINK EX: https://www.tiktok.com/@alexarosecarlin
Linkedin Link
Provide link to your LinkedIn profile
Please make sure the email you are submitting is your MAIN point of contact email address as this is where we will be contacting you to notify if your application has been selected.
Phone Number *

Area Code Phone Number
E-mail *

Confirmation Email example@example.com

SESSION DETAILS

In this next section, please submit details of the talk(s) you are proposing. We select speakers based on the content they will be presenting. You can submit a solo keynote/ workshop and/or a panel idea.

**Also, please note sometimes we decide to create a panel around a given topic that you may be pitching as a solo speaker, if we decide to host a panel on this topic instead of a breakout workshop, please mark if you'd be open to being on the panel if selected.

Title of Your Session: *
The title of your session is the first impression for Conference Attendees. Use a concise, but inclusive, title which clearly conveys what you will be presenting and draws attendees' attention to your topic.
Main Speaking Topic *
If other, what topic is your session about?
SESSION DESCRIPTION: Your session abstract will tell Conference Attendees why they should attend your session. To be effective and create interest, it should provide a brief, clear, and concise reflection of your presentation’s content. The abstract should only be one paragraph of between 150 to 250 words in length. If selected, this is the description we will use in marketing your session. (If pitching a panel idea, include panelists/ moderator names and titles here.) *
Additional Links including past speaking videos, speaker reel, press features, etc.
PROFESSIONAL BIO: Please include your professional short bio. *

If your proposed topic is scheduled as a panel discussion vs a solo workshop/ keynote, are you open to being a featured panelist? *
Are you open to being a moderator of a panel? Moderators receive equal promotion as our speakers. They lead the discussion to create an engaging and valuable session around given topic. *
Are you currently a registered exhibitor? In order to schedule your session properly, please let us know. *
How did you hear about us? *
If you are a speaker agent, publicist or assistant, applying on behalf of your client, please complete the below information with your details. If this does not pertain to you, please leave below section blank.
Your Name

First Name Last Name
Your Company & Title
Your Email
example@example.com
Your Phone Number

Area Code Phone Number
I have verfied that all information provided is accurate and complete *

Yes
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