2024 Speaker Information Collection Form

Thank you for your interest in speaking at The Locals Mix Soapbox Free Community Educational Series! Experts share knowledge followed by Q&A with audience. Please fill out the following questionnaire to help us get to know you better and understand how your expertise can benefit our community.

Name- as you want it to appear on all materials

First NameLast Name

Your Title as you want it to appear on all marketing materials.

Example: Profitability Expert.

Organization/Company:

Email- that you want attendees to contact you at

example@example.com

Phone Number

What is the title of your talk or area of expertise?

Why do you believe your topic is important for our community?

Please select your preferred presentation date and topic:

October 23, 2024- Death and Dying- Meaningful discussions on the critical and often overlooked aspects of end-of-life mattersDecember 18, 2024-Mental Health- Practical tips and tools for maintaining mental well-being in a fast-paced society.

Please upload any photos we can use from promotion here

Please describe what attendees will learn from your talk.

Type in your intro. This is how our host will introduce you.

Are you planning to provide a product or coaching offer? If so please put the URL here. Please use an affiliate link so that you can easily track leads from our summit.

Anything else you need us to know?

Event Details:

Location: Ripple Coworking, Orange Ave, Daytona Beach
Time: 6:00 - 7:00 PM
Format: The first 30 minutes for the discussion, followed by 30 minutes of Q&A.

Additional Information:

Recording and Promotion: We record the talks and post them on The Locals Mix YouTube channel to allow the discussion to continue online.

Volunteer Opportunity: This is a volunteer position, but the perks include enriching our community by sharing valuable knowledge, being advertised by The Locals Mix on social media, our website, and Jeep Beach Radio. The video will stay up on The Locals Mix YouTube channel, helping grow your following.

Promotion Support: We take care of all promotion, graphics, etc.

Self-Promotion: We encourage you to share about your business and promote anything important to you.

Application Requirements: Please send a bio and photo for promotional purposes in your application.

We look forward to potentially having you join us and contribute to our mission of supporting the creative community!

Signature

The Locals Mix Soapbox Series: Volunteer Speaker Signup Form