Engagement Inquiry Form

ENGAGEMENT INTEREST FORM

Thank you for your interest in sharing your expertise, providing resources and supporting the Gwinnett Entrepreneur Center and its members.

Please complete the top portion and the section marked "ALL INTEREST" and then use the sectioned drop downs to complete the parts of this form that align best with the opportunities you are interested in, either:
- FOR THOSE INTERESTED IN SPEAKING/PRESENTER OPPORTUNITES
- FOR THOSE INTERESTED IN GETTING ENGAGED IN OTHER WAYS
Thank you again for your interest.
Name

First NameLast Name
Company/Organization Name
Your Title
Website
Email
Phone

Area CodePhone Number
Have you taken a staff-led tour of the Center?
Have you attended programs or networking events at the Center?
- Please indicate programs that you have 5+ years of experience with:
- Presentation Formats you have experience with:
- Please indicate your areas you have presented publicly:
- Please indicate the opportunities that interest you:
- Please elaborate a bit on what you'd like to offer
  Ex. Item, dollar amount, quantity.
- PLEASE TELL US ABOUT YOUR AVAILABILITY
- Method
- Days
- Times
- All of our presenters volunteer their time, or work for a partner organization. Are there any fees associated with your participation?
- If fees are associated, please indicate your fees here.
- Please list any organizations you are a member of, or affiliated with
  Business Associations, Chamber of Commerce, Trade Associations
- Please indicate which of the following you have available upon request, or upload below.
- Please upload anything you have available to share with us such as; speaker sheet, bio, resume, session descriptions or marketing material
  
  Cancelof
- Facebook Page
  Company/Business page only
- LinkedIn Profile
- Youtube Channel
- Additional Comments
- Signature
- Date
  
  MonthDayYear
- Should be Empty:

PLEASE TELL US ABOUT YOUR AVAILABILITY