Muppies · Speaker Nomination Form

Part 1: About you (the nominator)

Name

First Name

Last Name

Email

Verify Email

Are you a Muppies member who is current on your membership dues?

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Yes

No, I am not current on my dues

No, I have never been a Muppies member

Part 2: About the nominee

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I am nominating myself as a speaker

Name of nominee

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First Name

Last Name

Nominee's email

*

Verify Email

*

City

*

Country

*

What is their occupation?

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Gender

*

Male

Female

Which type of Muppies event are you recommending this speaker for?

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Webinar series

Muppies Annual Conference (MAC)

Local city event

Clubhouse

Fireside chat

Which of these Muppies industries would this speaker be considered?

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Consulting

Entrepreneurship

Finance

General Management

Law

Social Impact/Public Sector

Technology or Product Management

Healthcare

Do you know this person personally? (It’s okay if you don’t)

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Yes

No

Have you seen this person give a public speech/presentation before? (It’s okay if you haven’t)

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Yes

No

If you are recommending this speaker for a City/local event, please indicate which city:

Tell us more about the speaker. Why are you recommending her/him?

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What would her/his talk be about?

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If applicable: please share audio or video links featuring the proposed speaker, and/or links to any articles or websites featuring this proposed speaker.

Before submitting your nomination, please review how Muppies processes the personal information you provide to us:

We will evaluate your nomination and will share this information with team members and third parties selected to review speaker nominations.
There is no deadline for nominating a speaker. If you've submitted a nomination, it will stay in our database to be considered for future conferences. If someone is invited as a speaker, Muppies and the speaker will coordinate a mutually agreeable date/time for a speaking engagement.
An invitation to speak does not guarantee that a speaking engagement will happen immediately.
Please note that we cannot guarantee the number of attendees who will join us for a webinar/event.
Submitted nominations and follow-up meetings are not confirmations that someone will be invited to speak.
If you are selected as a speaker, we will work with you to craft a short poll for Muppies' members to help tailor your presentation.
Due to volume, we are not able to respond personally to each suggestion, but someone from Muppies will be in touch if needed.
Your information will be processed in accordance with Muppies’ privacy policy.

Please reach out to muppies@muppies.org if you have any concerns with Muppies managing your data.

By checking this box, I consent and agree to Muppies processing my information as defined above.