Speaker Form

Please complete the form below to help our team craft an amazing campaign for your presentation.

Speaker Details

I'm a new speaker. This is my first time presenting at an Abide Network event.

First name

Last name

Professional Title, Degree(s), Specialty

Are you a mental health/medical professional?

Yes

Your Bio: 3-5 sentences, helps to build audience trust.

Leave blank if non-applicable

Facebook

Instagram

X (Twitter)

Where will you be speaking?

Food for the Heart (weekly, public)

Expert Help Webinar (monthly, ticketed)

Proposed Presentation Date

What is the date that Marilyn/Jen gave you?

Title of presentation

What is the main takeaway your audience will get from this message?

In 3-5 sentences, summarize the presentation.

Do you have any offers? Share links below.

Headshot (upload or link) - best shots are uncropped and include head & shoulders

Link to headshot

Yes, subscribe me to Abide Network emails (news, products, events).