Volunteer Speaker and Workshop Application Form

IHUB › Mentor/Volunteer ›

First Name: Last Name: Position/Title: Highest Educational Attainment: Phone number: Email Address: Street Address: City: State: Zipcode: Please provide a brief overview of your background, expertise, or area of specialization: Have you previously delivered presentations, workshops, or talks at colleges or educational institutions? If yes, please provide details (including the topic, audience size, and any feedback received): Please describe the topic(s) you are interested in speaking about or conducting workshops on: What is your objective or main message when delivering presentations or workshops to college students? How would you engage and interact with the audience during your presentation or workshop? Do you have any specific audiovisual or technical requirements for your presentation or workshop? If yes, please specify: How long is your typical presentation or workshop duration? Please provide an estimate: Are you willing to adapt or customize your presentation or workshop based on the needs and preferences of the college or educational institution? Do you have any testimonials, references, or links to previous presentations/workshops that you would like to share? (You may provide URLs or attach supporting documents.) Supporting Documents for Question 9 Are you available to deliver presentations or workshops on weekdays or weekends? Please specify your availability: Is there any additional information you would like to share that would strengthen your application as a volunteer speaker and workshop facilitator? Please attach any other relevant documents. By submitting this application, I confirm that the information provided is accurate to the best of my knowledge. Signature: Date: