Physician Side Gigs Speaking Opportunities
As our group grows, we have had several companies reaching out to see if we can help them find niche physicians for speaking opportunities.  If you are interested in being matched up with speaking opportunities, please fill out the following form.  This list will not be shared with anyone outside of our team.

If you use this service, you agree to the following terms. Your use of this form is voluntary.  We reserve the right to change and/or discontinue these services at any time and for any reason. For many of these opportunities, we are simply relaying that the opportunities exist. As such, we are not responsible for the content or accuracy of those job descriptions, their compliance with hiring practices, or any future correspondence you have with or terms you agree to with the company. You are responsible for gathering your own information regarding a position prior to entering into any agreement with an employer or company. Nobody outside of our team will have access to the data collected on this form. Only if you decide to move forward with an opportunity that is emailed to you will the connection be made. You understand that we may charge job advertisers a fee for our time getting involved. You also agree not to attempt to profit from this service aside from securing an opportunity for yourself. You may not use the information provided to you to solicit others to use or invest in competing products, services or companies.
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Email *
Name *
Specialty *
Phone number
Topic(s) you consider yourself an expert on or are comfortable speaking about
Do you have any titles or special qualifications/roles/relevant life experiences that may give you more authority to speak about this topic?
Do you have a website?  Please list it here.
Do you have prior speaking experience?
Clear selection
If you have any links to you speaking, please put them here.
Speaking fees (we recognize this will vary based on the opportunity, a range is okay)
What types of events are you available for?
Clear selection
Where are you based out of (city/state?)
Other comments that may help us determine if this is a good fit
If you use this service, you agree to the terms below - please acknowledge these legal terms and conditions: Your use of this form is voluntary.  We reserve the right to change and/or discontinue these services at any time and for any reason.  For many of these opportunities, we are simply relaying that the opportunities exist.   As such, we are not responsible for the content or accuracy of those job descriptions, their compliance with hiring practices, or any future correspondence you have with or terms you agree to with the company. You are responsible for gathering your own information regarding a position prior to entering into any agreement with an employer or company.  Nobody outside of our team will have access to the data collected on this form.  Only if you decide to move forward with an opportunity that is emailed to you will the connection be made. You understand that we may charge job advertisers a fee for our time getting involved.  You also agree not to attempt to profit from this service aside from securing an opportunity for yourself.  You may not use the information provided to you to solicit others to use or invest in competing products, services or companies.
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