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C&C Speaker Application
This form is to apply to be a featured speaker for an upcoming VCBW Ecosystem Members Coffee & Connection.
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* Indicates required question
Email
*
Your email
First, Last Name
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Your answer
Phone Number
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Your answer
Name of Business/Organization
*
Your answer
Role /Position in Business/Organization
*
Your answer
Brief description of Business/Organization (What services/products do you offer?)
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Your answer
Provide a brief Bio
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Your answer
Social Media Links (Facebook, LinkedIn, Instagram, Twitter, Tiktok, Youtube)
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Your answer
Website
Your answer
Have you been a speaker at an event before? If so, please share some details.
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Your answer
What topic(s) would you like to speak about?
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Your answer
Briefly explain why this topic is relevant to our audience.
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Your answer
Can you provide a brief outline or key points of your proposed talk?
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Your answer
Do you have any audio/visual requirements for your presentation?
Yes
No
Maybe
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Any additional information you'd like to share?
Your answer
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