Mind Quest Speaker Application

speaker application form

You do not have to be a university professor or an expert on the subject to speak at AMQ, but you must have solid knowledge and, most importantly, passion for the subject! We also would like you to have the ability to share information in an engaging and exciting delivery style.

Before submitting your application, please read the Anthem Mind Quest Speaker Requirements and Guidelines.

Speaker Information

Name:*

Phone:*

Email:*

Speaker Headshot:

Presentation Information

Please select the topic of your presentation:*

If you selected Other, what is the topic of your presentation?

What is the title of your presentation?*

Presentations must be between 10-70 minutes in length. How many minutes is your presentation (approximate)?*

MindQuest presentations are held on the first Thursday of each month. There are no presentations during summer months (June, July and August). Please select the month and year that you are available:*

If you are available for additional dates, please list:

Describe your presentation (2-3 paragraphs):*

Do you have public speaking experience?*
 Yes   No

Have you presented this topic before?*
 Yes   No

If you have presented this topic before, please provide details and a link to a video (if applicable):

By submitting this form you agree that you have read and understand the speaker requirements and guidelines. You also agree to give at least three weeks notice if you must cancel.