Speakers Guide Application Form

First Name

Last Name

State or Territory

Organisation

Job Title

Phone Number

Linkedin Profile URL

Professional bio and photo

Professional Bio

Headshot Min file size 1MB | Max file size 3MB

Areas of Interest Select a minimum of three areas of interest in order of preference. Please do not repeat selection. These choices will appear on our guide.

Area of interest #1

Area of interest #2

Area of interest #3

Area of interest #4

Area of interest #5

Area of interest #6

Other - Please Specify.

By submitting this application I agree that:

Inclusion of my profile in the guide is not a guarantee of speaking opportunities
My email address may be shared with event organisers and external parties interested in my profile
The above information given is true and correct as at the time of submission
My profile will not be published on the guide unless all information fits criteria outlined above

Contact Information