Clone of Speaker Application for the Women in PR "WorkWell" Conference 2026

1

Are you available in-person in Toronto in May 2027? Please note that this is not a paid speaking opportunity.Thank you for your interest in collaborating with Women in PR North America!

YESNO

2

Name

First Name

Last Name

3

Email

example@example.com

4

Phone Number

Please enter a valid phone number.

5

What are your company details?Share your website, social media links and/or a brief overview of your business.

6

A Brief Overview of Your Area of ExpertiseShare a concise overview (150-200 words) of your area of expertise, focusing on the topics you are passionate about and would like to discuss at the conference as part of a panel session.

7

Would you like to be a sponsor?If yes, what's is your budget as a sponsor? We will follow-up with more details.

$5,000

$10,000

$15,000

Not interested in sponsorship

8

Would you like to join us for a mastermind retreat experience? If yes, what location would you be interested in? i.e. Costa Rica, Hawaii, Tuscany, or other?

10

If selected as a speaker, do you agree to become a member of Women in PR North America/ the Public Relations Academy?Please note that we offer first priority to our members to speak at our events. We offer a significant amount of marketing and media exposure for our speakers and sponsors.

Yes absolutely!

Already a member

Not interested in membership

11

Suggestions for Other Potential AttendeesDo you know any other professionals who might be interested in participating at the WorkWell Conference? If so, please provide their names and contact information.

12

Thank you for completing our survey! We will reach out to you with next steps!If your area of expertise is a good fit for our conference theme, we will email you to request a headshot and bio for the website.