Walnut Club Speaker Request Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please fill out our speaker request form and we will add you to our speaker list for consideration. Please note:
* priority to speaking slots is given to our paying members
* our non profit does not have the budget to pay speakers
* we only host a handful of speaker events a year to diversify our programming

Your name and title *

Organization name *

Email address *

Website address (if you have one)

LinkedIn page *

Are you a member of The Walnut Club? *

Yes

Are you interested in sponsoring an event, where you would cover the cost of food and wine in exchange for marketing promotion of your company/business? (Note that sponsored events receive top consideration since we are a nonprofit). *

Yes

What is the title of the talk on which you would like to speak? You can list multiple topics. *

Please provide a brief description of your topic and how it would benefit our members. What are some key takaways? This is for our board to review. *

Would you be interested in speaking at a "Lunch & Learn" event, where your presentation would be featured in a private online webinar and allow our members to access a video replay? *

Yes

Maybe

Do you have access to a free venue to host the event? Would you assist in any way to help coordinate the event? (Since we're run by volunteers, your ability to help organize the event would increase your chances of being a featured speaker). *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of The Walnut Club. Report Abuse

Forms