Guest Information
First Name
*
Last Name
*
Pronouns
She/Her
He/Him
They/Them
Email
*
Phone
*
Business/Organization
*
Your Business Title
Website
*
"Third-Person" Bio/Introduction
*
Past Speaking Experience
Are you also interested in being considered as speaker at our BIG virtual event - the FamilyPreneur® Summit - happening October 3-7, 2022?
*
Yes
No
Maybe
Session Information/Pitch
Proposed Title
*
What SPECIFIC topic will you focus on?
*
What are 3 key takeaways or action items that attendees will be able to implement after your training? Interview questions will be drawn from this information, please be specific.
*
1
2
3
Request A Specific Release Date [Optional]
Marketing Assets
Headshot
*
High resolution, square image preferred.
Social Media Links
Facebook
Instagram
LinkedIn
Will you be promoting a FREE opt-in offer?
Value Alignment
FamilyPreneurs are diverse, and it's critical that the guests we feature and promote to our community are aligned with our values and are actively working towards becoming more intentionally inclusive.
*
I support anti-racist initiatives & acknowledge that Black lives 100% matter
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Yes, and I am a-okay with the world knowing it.
I support equality for all gender identities, expressions, & orientations
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Yes, and I am a-okay with the world knowing it.
Anything Else We Need To Know
Submit to FamilyPrenuer®