Join the WRISE Speakers Bureau - WRISE

WRISE Speakers Bureau and Advocate Program Application

Permission to share the information you provide:

Women of Renewable Industries and Sustainable Energy (WRISE) will share the information (first name, last name, title, company, bio) provided on this form via a public facing website and will use the information you provide on this form to be in touch with you and to provide local and national updates. By signing up for the Speakers Bureau, you agree to be communicated with by WRISE, our local chapters, event organizers and advocacy organization via the program portal. Your personal contact information will not be shared publicly by participating in this program.

After reading the Permission section above, do you agree to activate your speaker/advocate profile?

By selecting yes you are agree to the statement below "Permission to share the information you provide"

Are you applying for the Speakers Bureau or the Advocate Program?

Contact Details

First Name

Last Name

Phone

Other Email

Race

Race Other

Other Pronouns

Are you a veteran?

City

State

Title

Company or Organization

Business Type

Select all that apply by holding the Ctrl key (Windows) or the ⌘ key (Mac) while making selections

Other Business Type

Market Sector

Select all that apply by holding the Ctrl key (Windows) or the ⌘ key (Mac) while making selections

Other Market Sector

Energy Sources

Select all that apply by holding the Ctrl key (Windows) or the ⌘ key (Mac) while making selections

Other Energy Source

Upload a profile picture

Please upload a png or jpeg. For best results the recommended picture size is 200 x 200 pixels.

Speaker Details

Experience level

**If you select this option, we will add you to our newsletter for upcoming opportunities

Area of Expertise

Select all that apply by holding the Ctrl key (Windows) or the ⌘ key (Mac) while making selections

Other Expertise

Conferences I've spoken at:

We will also be launching a speaker training program that will also support the community at-large as individuals work to develop and refine their public speaking skills. Please let us know your interest in the speakers program below.

Note: The speaker training program is under development, expressing interest here means you will get emails about the program and more information about how it will work and can decide on the specifics of your engagement and availability at that time to support as a coach.

Interest in Coaching

**If you select this option, we will add you to our newsletter for upcoming opportunities

Interest in being a Coach

**If you select this option, we will add you to our newsletter for upcoming opportunities

Social Media Details

Twitter Hande URL

LinkedIn Profile URL

Youtube Link

ContactID

Contact Information