Speaker Application

Speaker Application


			Apply to Speak Today Hone your presentation skills, build networking relationships with brother coaches and enhance your professional reputation-all at the same time! Become a Glazier speaker. You might even have a little fun in the process. Let us know your favorite topics and locations where you might be able to speak in the form below.

NAME (first,last):

SCHOOL NAME:

TITLE/POSITION:

ADDRESS:

CITY, STATE:

ZIP CODE:

HOME PHONE:

( ) -

WORK PHONE:

( ) -

CELL PHONE:

( ) -

FAX:

( ) -

EMAIL:

name@address.com

If you have a bio posted on the Internet,
please paste in the web address:

What topics or subject matter would you like to speak on?

Please give us some details about your success on the field with these topics.

Knowing that we generally do not pay transportation costs for first-time speakers, which clinics are within your driving distance?