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Speaker Application Form
Name
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First
Last
Organisation (if applicable)
Email
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Website
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(brief title)
LinkedIn
What would you like to speak about?
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Please describe your proposed session
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Presentation, fireside chat, workshop, Q&A, something else? (200–500 words)
What are 3 key things attendees would learn?
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Why do you think this topic would be valuable to startup founders, entrepreneurs or innovators?
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Have you delivered this talk before?
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Yes
No
Links to previous talks, videos or presentations (if available)
Does this session include discussion of any products, services or organisations that you are affiliated with?
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No
Yes, incidentally
Yes, significantly
If yes, please explain how these will be referenced.
What prompted you to offer this session?
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I want to share expertise with the community
I want to build my professional network
I want to raise awareness of my organisation
I would like to generate potential clients/customers
Other
What would you hope to gain from delivering this session?
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Our speaker sessions are educational rather than promotional. Speakers should provide practical value to attendees and avoid sales pitches. Do you agree to this principle?
(Required)
Yes
No