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CO+HOOTS In-Person Speaker Application
27
Questions
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1
Full Name:
*
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2
Title:
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3
Organization:
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4
Email:
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5
Your Address:
*
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6
LinkedIn:
*
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(Ex. https://linkedin.com/in/jennypoon)
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7
Twitter:
Include whichever account(s) you want us to tag you in. (Ex. @cohootsphx or @poondingo)
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8
Facebook:
Include whichever account(s) you want us to tag you in.
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9
What gender do you identify as?
*
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Female
Male
Non-binary/third gender
Prefer not to say
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10
How do you describe your ethnicity?
*
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Hispanic, Latino or Spanish origin
Native American or Alaska Native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
White
Don't wish to answer
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11
Do you speak any of the following languages:
*
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Chinese (Mandarin)
Chinese (Cantonese)
Vietnamese
Spanish
Korean
None
Other
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12
Phone Number:
*
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Area Code
Phone Number
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13
Bio:
*
This field is required.
2-3 Sentences or Short Paragraph about your experience & expertise.
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14
Upload your headshot:
Or link to your headshot in the next step.
Drag and drop files here
Select files to upload
Max. file size
: 1.0MB
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15
Link to your headshot:
*
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16
Choose your area of expertise:
*
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Business Strategy
Finance
HR
Legal
Marketing & Sales
Operations
Product & Service Development
Web & Tech
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17
Years of experience with this area of expertise:
Under a year
1-2 years
3-5 years
6-10 years
10-19 years
20+
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18
How much would you normally charge for your services per hour?
$25-$49
$50-$99
$100-$149
$150-$199
$200-$499
$500+
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19
Which CO+HOOTS location would you like to speak at?
Phoenix
Mesa
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20
Title for your speaking session:
*
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Try to be witty, clever titles do the best! Ex. 5 steps to grow your business, Sales tips from pros, How to operationalize your life, How to Destroy Your To Do List)
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21
Abstract:
*
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Give us two to three paragraphs max about what an attendee will learn. Make it as specific as possible.
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22
What are three key things the audience will be able to do after attending your session?
*
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Example: "Each attendee will be able to leave with a business plan" or "Everyone will be setup with task management processes and tools to onboard team members"
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23
Would you like to sponsor lunch for this event?
Typical budget is $75-$100. As you may know, a Free Lunch earns more RSVPs. But this is OPTIONAL. If yes, our Community Coordinators and Managers can work with you on lunch catering options.
YES
NO
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24
Past Speaking Experience:
(link to online videos or summaries/reviews of previous speaking engagements a major plus)
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25
I agree that I may be taped, live streamed and my presentation may be disseminated. I also agree to wear a clip-on mic provided by CO+HOOTS for the stream and to record a 1-2 minute intro and outro for the recorded version. (Intro/outro recordings will be done half-hour before speaker series event starts.)
*
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26
I agree that you can use this presentation and the information therein for future purposes.
*
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27
I agree to share my speaking session with my social network once it is confirmed to help build access to my great presentation.
*
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