2020 VIA Excellence Forums Programming
Application for Speaking Engagement
First Name
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Last Name
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Company Name
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Email Address
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Cell Number
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Area Code
Phone Number
Work Number
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Area Code
Phone Number
What forum are you applying for? Topics are TBA
Safety Forums: 2/20 or 8/20
Workforce Development: 1/16, 4/16, 7/16 or 11/19
Social Responsibility:3/19 or 9/17
Innovation: 6/18 or 12/10
Culture: 5/14
Please give us a rough outline of your presentation.
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Are you most comfortable presenting a (check all the apply)
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30 minute presentation
45 minute presentation
1 hour presentation
Any length of time
Please summarize why you think you are best suited for this specific speaking engagement?
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Please list any/all accolades or accreditation?
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Please include an files and or materials to support your application.
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Thank you for completing this application for a VIA Speaking Engagement opportunity. Completing this form does not guarantee a speaking opportunity at a VIA event. A member of the VIA team will be in contact with you ONLY if you are selected for a speaking opportunity. Thank you
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