Speaker / Instructor Intake Form
Are you looking to become a speaker or instructor at a future STEM Baddie event in Los Angeles? We are so excited to learn more about you and welcome you to one of our events.
Are you a speaker or instructor?
Speaker
Instructor
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
What are you interested in providing at a STEM Baddie event?
Do you live in the Los Angeles area or will be in the area?
*
Yes
No
What dates & times work best for you?
Submit
Should be Empty: