Polka Dot Powerhouse MetroWest Chapter Speaker Request Application

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We are so excited that you want to share your talent with our chapter! Please take some time to carefully fill out this speaker application. Once submitted, it will be reviewed by our leadership team. Please look for a response within 60 days.

We do ask that you get to know our chapter by attending 1-2 meetings before submitting your application. We also like speakers that are well-rounded in their presentations rather than only focusing on business related topics. Many of our members have other interests. Thank you!

First Name *

Last Name *

Email Address *

Phone Number *

Business Name

Web Address

About Your Presentation *

Title of Proposed Presentation *

Abstract/Overview of Presentation (350 words max) *

List 3-5 lessons/takeaways audience will leave with after presentation *

More About You

Are you a Polka Dot Powerhouse member *

Yes

Not a member, but would love to join!

If you are a Polka Dot Powerhouse member, where is your home chapter?

How did you hear about this speaking opportunity? *

Why are you interested in speaking at our MetroWest chapter meeting?

Have you presented this topic before? If so, please list the group/organization(s) and date(s) of presentation. (optional)

Please provide link to a video of your presentation. (optional)

Please provide your bio. (350 words max) *

The MetroWest Chapter of Polka Dot Powerhouse holds one meeting each month. They are generally on the 2nd Tuesday. We alternate every month between a dinner and a lunch. Please indicate your preference. Lunch Meeting or Dinner Meeting. *

Where can we find you on Social Media?

Facebook

Twitter

Instagram

Marketing Information, if selected.

Short promotional summary of presentation *

Short promotional bio (100 words max) *

URL to your photo *

We like our speakers to have attended several meetings to get to know our community of women. Which meetings have you/ can you attend?

Please check boxes below that you agree: *

That if chosen, I will not be able to sell products or services "from the stage" or during the presentation

That if chosen, I will have the opportunity to offer free resources to the audience for those that opted-in

That this application does not guarantee a spot as a speaker for MetroWest Polka Dot Powerhouse

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