NAWL Speaker Interest Form

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Speaker Interest Form

I am submitting this form on behalf of: *

Myself

Someone Else (please provide your contact details)

Submitter Name:

Submitter Email:

Submitter Company:

Submitter Title:

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Speaker Interest Form

Speaker Information:

First Name: *

Last Name: *

Email: *

Company Name: *

Company Website:

Title:

LinkedIn Page:

Speaker Bio: Please provide a brief biography highlighting the proposed speaker's professional experience, achievements, and areas of expertise.

Speaker Relationship with NAWL & Diversity:

Is the proposed speaker a NAWL member?

Yes

Has the proposed speaker previously spoken at a NAWL conference, virtual event, or podcast?

Yes

If yes, please specify which events or programs.

NAWL seeks to work with speakers who promote inclusiveness and share diverse experiences and viewpoints. How will the proposed speaker bring a diverse perspective as a NAWL speaker?

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Speaker Interest Form

Consent & Agreement

By submitting this interest form, you acknowledge and agree to the following:

I. By submitting this form, I acknowledge that the information provided is accurate and complete to the best of my knowledge.

II. I understand that submitting this form does not guarantee selection as a speaker for NAWL programming.

iv. I understand that NAWL may already be working on or employing a similar idea, and they are not obligated to involve you in discussions regarding related content or programming.

v. If selected, you agree to abide by NAWL's policies and guidelines for speakers, including adherence to the event schedule and code of conduct.

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