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October 2, 2015
2017 Wonder Women Tech Speaker Form
* Please Note: Speaker Applications are accepted and reviewed on a Rolling Basis. Due to our year-round event schedule, we will be constantly reviewing submissions. All accepted speakers will be notified at least six weeks prior to a conference date.
Which WWT Conference would you like to apply to speak at?
Check all that apply!
London, April 2017
Long Beach, August 2017 (Main Conference)
Washington D.C., November 2017
I would like to be considered for all of them!
What is the name of the interested Speaker, Contact Info, and where are they located?
Please include website, and any other pertinent contact info.
What is your email address
What is your telephone number?
What is the Speaker's topic of interest and/or expertise?
What topics have you presented or are comfortable with discussing? Can provide links to demo.
Please share a short bio of the Speaker.
For a longer bio submission please upload a Word doc or PDF below.
Please upload the Speaker's Bio:
Bio document can be in a Word doc or PDF.
Please include any links or other online media below:
We're passionate about highlighting women as role models for other women! Send us anything you would like to share!
Please upload the Speaker's photos:
Photos must be in .JPG, .TIF or .PNG image file formats. Photo Dimensions: min. 500 px wide or tall, at 150 dpi to be considered.
What is the Speaker's Talk Title?
Please keep it short and simple (max. 80 characters)
How is the Speaker interested in getting involved with Wonder Women Tech?
Check all that apply.
VIP Panel at Kick off Party
Available for Mini Conference Calls
Available for Mini Web Conference
Available for Fireside Chats
Available for Google Hangouts
Speaker Sponsor Level (Sponsor the event for special speaker opportunities)
Does the Speaker have a background in Tech, STEAM and/or Innovation? How so?
Please share in detail the level of expertise and experience in the tech and STEAM industry.
Is the Speaker available for our August 18th - 20th 2017 Conference date?
The Conference will be held at the Long Beach Convention Center in Long Beach, California
No (This does not exclude you as a speaker!)
Yes and open to other event dates
No but open to other event dates
Why is the Speaker passionate about seeing more women and diversity in tech?
Share any experience with spearheading initiatives that contribute to increasing visibility for women and diversity in tech.
Is the Speaker willing to provide a free gift to attendees or raffle? If so, what?
Please provide detailed info on offer and product/service quantity.
What is the Speaker's Sphere of Influence?
This would include Social Media numbers and Mailing List, etc. Please include Social Media links. All speakers will be asked to share conference details with their network.
Is the Speaker interested in being a Wonder Women Tech Ambassador?
We are regularly invited to speak at other events, and/or host workshops, talks, and panels. We pull from our great roster of speakers within our ecosystem. A commitment to share WWT initiatives, and possible inclusion for seminars, retreats and teaching curriculum. Experience in Diversity and Inclusion highly desirable.
Possibly, tell me more!
Why should we choose this Speaker for Wonder Women Tech 2017?
This is a chance to shine! Highlight all the areas that may be of value to our conference.
Is the Speaker willing to participate in press interviews?
Possibly, tell me more!
I identify as:
Please check all that apply! We love highlighting our diverse talent.
American First Nations
I prefer to identify as
if none of the previous identities fit, please tell us how you prefer to identify
Are you available to speak and/or participate in our Year Round programming?
We will have panels, mixers, workshops, hackathons, and events all year-round locally, nationally and internationally!
Yes, tell me more!
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