Prose & Pens - Speaker Biography Intake Form
To ensure that your biography meets your personal needs and standards, please answer the following questions as completely and THOUGHTFULLY as possible.  Be careful to not provide information on this form that you would not like to have used in your biography.  A copy of your responses will be sent to the email address you provide below. Your mailing address is only used to provide occasional client notes of appreciation, etc.  None of the information you provide is shared outside of Prose & Pens.
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Email *
Mailing Address *
Phone Number *
List the name that will be used in your biography. *
How will this biography be used?
If you currently have a website, please list the web address below.  
What is your current professional role/title? Describe what you do. *
How long have you been working in your current professional field? *
List any academic, personal, or professional achievements and/or memberships you might want to include in your bio. *
Was there a period in your life (childhood, young adulthood, college, first job, etc.) that had a significant impact on you personally and/or professionally?  If yes, please explain in as much detail as possible. *
How did you get your start as a speaker? *
What are the topics on which you speak? Describe your expertise and/or qualifications in this area. *
How would you describe your personality? *
What is something that few people know about you (hidden talent, special interests, secret fear)? *
What are your hobbies or some of your favorite things?   *
What is one personal and/or professional goal you have for the next 1-5 years? *
Would you like to include information about your family life in your biography?  If so, what details would you like included? *
Did we miss anything?  If so, tell us about it.  
A copy of your responses will be emailed to the address you provided.
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