Name
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First Name
Last Name
Email
*
Phone number
*
Website or Speaker Page
*
Book Title:
Social Media Links (include platforms and handles)
Have you done any of the following? (Check all that apply)
Tell us briefly about your experience
Working Title of Your Talk:
Which core area(s) does your talk focus on? (Check all that apply)
Brief Talk Description (2–3 sentences):
What’s your big idea or takeaway?
Presentation Style:
What is the #1 thing you want your audience to walk away with?
How do you currently engage your audience or community? (e.g. social media, podcast, newsletter, events)
How would you help promote your participation in the series?
What kind of physical promo item would you bring for your talk? (Something fun, useful, or meaningful to your message)
How would you describe your energy or speaking style? (E.g. high-energy, warm and humorous, thought-provoking, interactive)
Are you open to engaging with attendees before or after your talk?
Are you available to speak in-person at the Spire Center in Plymouth, MA?
Are you open to other future venues or virtual opportunities?
What excites you most about being part of the Positive Activity™ movement?
