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- Speaker Interest Form -

Thank you for your interest in speaking at TEDx Fairview! Our event theme this year is titled "Some Assembly Required," focusing on the general idea of Overcoming Adversity. We are looking for ideas that explore what we build when life doesn’t come fully assembled.

Please complete this short application. You do not need professional speaking experience. We care about ideas worth spreading.

Full Name:

*

Email Address:

*

Phone Number (Optional):

Preferred Method of Contact:

*

Preferred Method of Contact:

Email

Phone

No Preference

Please Confirm the Following Statements:

*

Please Confirm the Following Statements:

I agree to be contacted at the email or phone number that I provided

Location

*

Please select your location.

Location

A

Fairview, PA

B

Erie, PA

C

Other

If Selected "Other" for Previous Question,

Please provide the location below.

Tell us a few sentences about yourself.

*

(Ex: Job Experience, Awards, Recognition, etc.)

What would the title of your TEDx Talk be?

*

(Not permanent, just to get an idea)

What is the core idea your TEDx Talk would explore?

*

What challenge or change shaped this idea?

*

What insight do you want the audience to take away?

*

Please Confirm the Following Statements:

*

Please Confirm the Following Statements:

My TEDx Talk would not be promotional (selling a product, service, or personal brand).

If necessary, I can commit to coaching in preparation for the talk.

I will attend rehearsals prior to the conference.