Speakers Bureau Application

Ely Speakers Bureau Logo

Ely Chapter Speakers Bureau Application

You can apply to the Ely Speakers Bureau directory using the form below. The Speakers Bureau committee will review your application and follow up with you. New applications are reviewed monthly. Please be sure to complete the application completely and follow all the Form Instructions listed below.

Form Instructions

In the Additional Information section below, please respond to the following questions. Applications without this information may not be considered for publication until all information is provided for review. If any information is available as a PDF, please email it here and it will be included with your application and profile.
• List at least three of your speaking engagements over the last three years. Please include speaking date (month/year), title, topic and audience.
• Have you published any research or articles on relevant topics? If so, please list with URL link if available.
• What specific topics do you like to address in your presentations?

If you have a resume or CV you’d like to submit, please email it here.

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    Expertise Areas (Select All That Apply)

    Personal Headshot

    Maximum upload file size: 100 MB.


    Add Address

    Phone Numbers

    Add Phone Number

    Email Addresses

    Add Email Address

    Social Media Links

    Add Social Media Link

    Biographical Info


    Additional Information


    Bio Excerpt For Directory


    Once you click Submit, your application will be final and no changes can be made. Please double-check all entries before finalizing your application. Thank you again for your interest in the Ely Speakers Bureau. We will contact you soon regarding your application.