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CPC23 Breakout Speaker Application
Thank you for your interest in applying to be a CPC23 Breakout Speaker. Please ensure you have thoroughly read the Breakout Speaker Application Guide BEFORE YOU BEGIN.
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Email
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Your email
I affirm that I have read the Breakout Speaker Information document.
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Yes
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I affirm that I have read the INCM Statement of Faith and agree to teach within that framework.
https://drive.google.com/file/d/1It7i1mQvnBbdkUulRNisP8mW2D5dz0fs/view?usp=sharing
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First Name:
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Your answer
Last Name:
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Your answer
Title:
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Your answer
Primary Phone Number:
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Your answer
Organization or Church name:
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Your answer
Bio (50 words or less):
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Your answer
Headshot: SUBMIT HERE
https://www.dropbox.com/request/nv7VjLXy6wsjO6PPW3N2
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I submitted my high-quality headshot to the above location
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Website:
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List all Social Media Handles (please specify the platform):
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