Interest Form for FOCUS Conference Speaker or Performer
Prefiix
First Name
Last Name
Suffix
Email
Phone
City or Full Address
Gender
Have you spoken to or been recommended by a specific FOCUS staff member to apply as a speaker or performer for our events? If yes, please write the FOCUS staff name and give a short explanation for context. (50 word limit)
List the Conferences/Events/Retreats you have spoken or performed at with the audience number at each. (5 max)
What is the largest audience you have spoken/performed for before?
Submit an online video link (YouTube, Dropbox link, etc.) of your talk or performance. (3 max)
If you are a speaker, list your top talk topics (5 max)
Why are you a good fit for FOCUS conferences? (100 - 150 words max)
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