Boss Lady 50 Women in White Tour Keynote Speaker Submission Form
Please fill the form below accurately and ensure you indicate award category and nominee name.
Title of Keynote Speaker Presentation:
Full name of Speaker:
*
Does your presentation require a whiteboard, projector or TV?
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Gender:
Male
Female
About (The Speaker)
Person submitting the form (If not submitting for yourself)
I am nominating myself
Yes
No
Brief bio about speaker:
Are you available to Speak in Cleveland and/or Columbus the weekend of 8/11-8/13?
Yes
No
Maybe
Other
Please upload one presentable photo of the speaker.
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Attach the speaker logo.
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A brief explanation of what topic you'd like to speak on:
*
What attributes you have to be selected to empower and elevate other women?
Share four adjectives that describe the nominee.
Describe the nominee mission or overall goals.
Have you spoken publicily before?
Is there anything else about the speaker we need to know?
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Does the Speaker have products or services to be sold at event weekend?
Yes
No
Maybe
Other
Does speaker require a fee to speak?
Yes
No
Maybe
Other
Submit
Should be Empty: