Tech It Out Speaker Nomination/Application -

WE ARE LOOKING FOR SPEAKERS FOR OUR :10 MINUTE TECH TALKS! PLEASE FILL OUT THIS FORM IF YOU ARE INTERESTED.

Nominator Name (if nominating someone other than yourself)
First Last
Nominator Email (if nominating someone other than yourself)
Nominator Phone (if nominating someone other than yourself)
Can we reference you when we reach out to the prospective speaker? (if nominating someone other than yourself)
Prospective Speaker Information
Name*
First Last
Email*
Job Title*
Company / Place of Employment*
Phone*
Industry*
Physical location where prospective speaker lives/works (city/state)*
LinkedIn URL*
What is the speaker's expertise?*
What is the speaker's topic suggestion?*
Why will this speaker and topic resonate at WICT RM's Tech It Out signature event?*
Does the speaker have prior public speaking experience? If so, please provide any links of web clips.*
If known, please provide a short outline of the presentation.*

Tech It Out Speaker Nomination/Application