WIA Event Speaker Application "*" indicates required fields ! Women In Automotive is a Non-Profit Organization and does not pay speakers for our events.First name:*Last Name:*Email:* Phone*Is this for WIA Social, Webinar, or Annual Conference?* WIA Social Webinar Annual Conference Have you spoken at a WIA event in the past?* Yes No Keynote or Breakout Session?* Keynote Breakout Session Approximately how many attendee seats will you need?*Please enter a number from 1 to 1000.Proposed Session Title:*How would you categorize your presentation? (In 5 words or less)*EX: Growing into Leadership Positions, Female Leadership Strategies, Marketing to WomenDescribe Your Presentation:*Why do you think your presentation is important for Women?*Speaker's Full Name:*Speaker's Job/Position Title:Speaker's Company Name:Speaker's Current Headshot:*Accepted file types: jpg, jpeg, png, gif.Speaker's Bio: (50-100 Words)*Speaker's Promotional Video: Drop files here or Select files Accepted file types: jpg, png, gif, pdf, mp4, Max. file size: 512 MB, Max. files: 10. Consent* I agree to the Privacy Policy and that I understand that this is NOT a paid engagement CommentsThis field is for validation purposes and should be left unchanged.