STMS Speaker & Performer Application

STMS Speaker & Performer Application
Full Name

First NameLast Name
City*
State*
Your Web Site
Company Name
Phone Number*
E-mail*

Confirmation Emailexample@example.com
What Best Describes Yourself/company? Check all that Apply

Faith leaderEntrepreneur or founderWellness or mental health professionalCreative,Poet, or storytellerEducator or coachMusician or PerformerTeen or young adult
Which category best aligns with your message?*
Do you identify with any of these summit audiences? (Check all that apply)

Burnt-out change agentsEmerging leaders in transitionCreatives & culture-shapersSystem navigatorsLegacy builders / Faith-based leadersYouth & young adults
Why do you want to speak/perform/Vend at Stop The Madness Summit?*
Upload Speaking Reels and Head shot

Cancelof
Do You Require Travel/Lodging Support*
Are you both an Exhibitor and a Speaker? In order to schedule your session properly, let us know.*
I understand that this is an application and not a guaranteed speaking opportunity. I also acknowledge that some STMS speaker and performer spots are unpaid and driven by mission alignment.*
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