Please tell us a bit more about you. Name First Last Email* Phone*Main Affiliation (school, organization, etc.)*Additional AffiliationsMy 3-5 Sentence Bio*Main Topics I Speak On (please limit to 3)*My speaking goals are* To promote a specific project To expand my platform To make money Three recent speaking engagements I've had*The most I've been paid for an event is*My ideal speaking fee range is*I will consider speaking for free occasionally*YesNoPlease provide links to three examples of your work (books, articles, social media, etc.)*CommentsThis field is for validation purposes and should be left unchanged.
