Speaker Application

Please complete the below application and its entirety. If you have any questions please contact us at info@blackgirlscanheal.co. We look forward to reviewing your submission.

Name

First Name

Last Name

Phone

(###)

###

####

Social Media Handles (if applicable)

Website (if applicable)

What Event Do You Intend On Speaking AT?

Brief Biography (100 words maximum)

Areas of Expertise

Links to Past Speaking Engagements or Recordings

Title of Presentation

Brief Description of Presentation (200 words maximum)

Intended Audience

Duration of Presentation (including Q&A session)

Any Additional Requirements

Preferred Method of Contact

Phone

Availability for Speaking Engagements

Speaker Application

Black Girls Can Heal