GWBC Speaker Application
Please complete the below application and submit to . You will receive an email confirming the receipt of your application. Questions should be directed to the same email address.
Please note: GWBC does not offer payment for program presentations.
Applicant Contact Information:
Name:
Title:
Company:
Phone:
Email:
Are you a WBENC Certified WBE?
☐Yes
☐No
If yes, which WBENC RPO is your company certified with?
Are you a Corporate Member of WBENC or GWBC?
☐ GWBC
☐ WBENC
☐ Both Organizations
☐ No
Please attach bio (PDF or Word doc) and headshot (hi res JPG), or provide upon acceptance.
Applicant Presentation Information:
Presentation Title:
Presentation Description (maximum 250 words):
Is this an original workshop presentation?
☐Yes
☐No
Will this presentation be given this year?
☐Yes
☐No
Learning objectives of the presentation:
Provide web links to speaker videos online only. Video files may also be accepted and should be attached to the email submission. Please note below if a file is attached to email or list links.
What AV equipment is required for your presentation?
Applicant Experience:
How many years of public/professional speaking do you have?
How many years of experience do you have with the presentation topic?
What is your reason for wanting to speak to GWBC’s constituency?
Please provide 3 references that can verify your professional and/or speaking experience. Letters of reference must be attached.
Name:
Company:
Title:
Phone:
Email:
Name:
Company:
Title:
Phone:
Email:
Name:
Company:
Title:
Phone:
Email:
Applicant Preferences:
Audience Size:
☐50 or less
☐50-100
☐More than 100
Day of the week:
☐Monday
☐Tuesday
☐Wednesday
☐Thursday
☐Friday
Time of day:
☐Morning
☐Luncheon
☐Afternoon
☐Evening
Length of time:
☐30 minutes
☐1 hour
☐1½ hours
☐2 hours
Applicant Travel Preferences:
Please note: GWBC does not pay for any travel expenses.
To which location(s) are you willing to travel?
☐Atlanta, Georgia
☐Charlotte, North Carolina
☐Raleigh, North Carolina
☐Charleston, South Carolina
☐Greenville, South Carolina