Application: 2025 Speaker Submission Form

2025 Thought Leader Submission and Speaker/Guest Panel Moderator Application Form

This form must be completed to be considered for any Dynamic Games Events.
I would like to participate in the following thought leader roles: How can I get involved?*

SpeakerPanel ExpertGuest ModeratorAdvanced TrainerJudgeCEO Leadership Forum Panel ExpertOn Air Forum ExpertHackathon FacilitatorMBA 6-Month Cohort Competition & Advanced Training ParticipantZoom Room FacilitatorExpert Trainer (April and June Event)Other
For more details about each role, click here.
Please use the space to ask any questions you have about the roles.
Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Country CodeArea CodePhone Number
Alternate Email
example@example.com
Presentation & Course Details
If you are teaching please provide the 20 Minute Course Description
Affiliate Link (Must be a $500 6-week virtual course with a 25% to us at Lifeful Habits)
Affiliate Link if you have one. I will ask you for this when the team sets up the Course in the Vault for audience attendees access.
Speaker Information
Biography*
Gender*

MaleFemaleNon-BinaryRather Not Say
Do You Want to Offer a Free Gift in the Vault?*

YesNo
Interests (Choose up to 4)
Describe your free gift in short few words (not requied)
Note: We will not be offering a free gift option, but if you have one we will add this to the Vault. We are designing this so that they are required to buy your $500 advanced (next level) course the goes from the first course you offering here in this event to the paid course.
Free gift Link (not required)
Note: We will not be offering a free gift option, but if you have one we will add this to the Vault. We are designing this so that they are required to buy your $500 advanced (next level) course the goes from the first course you offering here in this event to the paid course.
Select the most closely related interests for your talk*

Entrepreneurship and Business BuildingLeadership and Personal DevelopmentTools and Automation for EfficiencyMarketing and Branding StrategiesNetworking and Relationship BuildingMindfulness and Spiritual Practices for EntrepreneursFinancial Management and FundingInnovation and Technology in BusinessScaling and Growth StrategiesStartup Ecosystem and Community BuildingSocial Impact and Sustainable Business ModelsCreative Problem Solving and Design ThinkingTeam Building and Leadership DevelopmentResilience and Mindset for SuccessLegal and Compliance for Entrepreneurs
Job Function (Choose up to 4)*

Entrepreneur/FounderCEO/ExecutiveBusiness Development ManagerMarketing ManagerSales ManagerProduct ManagerOperations ManagerProject ManagerFinancial AdvisorInvestor/Venture CapitalistHuman Resources ManagerCreative DirectorTechnology/IT ProfessionalLegal AdvisorConsultant/AdvisorCoach/MentorEducator/TrainerNonprofit LeaderSocial Impact AdvocateInvestor/Angel InvestorInvestor Relations ManagerPublic Relations SpecialistContent Creator/InfluencerEvent Coordinator/PlannerCorporate TrainerWellness/Health CoachMental HealthSuicide Prevention Expert
Additional Information
Speaker Picture (Upload a file)*

Cancelof
Linkedin Profile Link
Social Media or linktr.ee Handle. (Here's Mine: https://linktr.ee/kgroshek)*
How did you hear about this speaking opportunity?*
Should be Empty:

2025 Thought Leader Submission and Speaker/Guest Panel Moderator Application Form