Youth Conference - Speaker Application
Thank you for being so interested in becoming a speaker at our Youth Conference! Please complete this application so we can get to know you and your ideas better.
Name
First Name
Last Name
Age
Email
example@example.com
Phone Number
Please enter a valid phone number.
City/State
Section 2: Background
Occupation / School / Organization
Short Bio
Have you spoken at public events before?
Yes
No
If yes, show: "Please list the event(s)"
Section 3: Presentation Details
Title of Your Talk
Topic Area
Leadership & Empowerment
Faith & Spirtual Growth
Education & Center
Mental Health & Wellness
Arts & Creativity
Other
Description of Your Talk (100-200 words)
Primary takeaway for youth?
Section 4:Availibility
Are you available to speak in person at the conference?
Yes
No
Are you open to presenting virtually?
Yes
No
Section 5: Fee/ Volunteer Commitment
Do you charge a speaker's fee?
Yes
No, I am willing to donate my time as a volunteer speaking
Open
Fee Amount
Soft Background Check Consent
As part of our process, all speakers are required to undergo a soft background check: Do you consent to this requirement?
Soft Background Check Consent
Yes, I consent
No, I do not consent
Section 6: Media & Consent
Please upload a recent photo of yourself?
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Do you consent to being recorded/photographed during the conference?
Yes
No
Section 7: Final Notes
Why do want to be a speaker at this conference?
Anything else we should know?
Submit
Should be Empty: