Guest Speaker Application Form

Guest Speaker Application Form

Join us in shaping the Future of Work
Full Name

First NameLast Name
E-mail
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date

MonthDayYear
Date
Job Title/Role
Organization / Company / Affiliation
Area(s) of Expertise - Which industry(ies) do you speak to or work in? (Select all that apply)

Other
Panel Topic Interest - Which topics would you feel confident and passionate speaking about?
e.g. “The impact of AI on jobs,” “Diversity in creative work,” “How to upskill displaced workers”
Have you spoken at events, panels, or podcasts before?

Other
Brief professional bio or background (Required)
Language Preference - In which language(s) are you comfortable speaking at the event?
Availability - Are you available to participate in our in-person launch event on September 26 (5–7 PM in Montreal)?
Social Media / Web Presence (Optional)
Consent
Is there anything else you'd like us to know?
(Optional open text field)
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