Monmouth Ocean Chapter NJAWBO

Speakers Bureau Application

The NJAWBO Speakers Bureau is designed to help our own Chapter, the state organization, and other business and civic organizations to identify experienced speakers for their meetings. If you wish to apply to both the State and Monmouth/Ocean Chapter Speakers Bureaus, you must send a copy of your application with your bio and/or resume to each contact listed below.

Complete and return this form as follows:

Monmouth/Ocean Chapter Speakers Bureau, complete this form, print and fax it along with your bio and/or resume to the Education Chair.

To apply to the NJAWBO (State Chapter) Speakers Bureau, contact HQ at Phone: 609-581-2121

Application

For a PRINTER FRIENDLY form, please click here.

Date:
First Name:	MI Last
Company:
Address:
City:	State ZIP
Phone:	Fax:
E-Mail:
Products/Services

Number of years experience in this field:

NJAWBO Chapter affiliation:

How far will you travel? Miles Hours

Honorarium expected? Yes No

Travel Expenses expected? Yes No

Your Speaking Experience: Little Moderate Extensive

Program Categories
Please check overall category and explain below:

Business Management and Legal Issues

Entertainment and Recreation

Environmental (Internal and External)

Financial Issues

Health and Food

Home and Real Estate

Image and Women's Issues

Marketing

Safety and Security

Other

Please describe your prior speaking engagements:
Print this page and fax it to the appropriate chair. Don't forget to fax or mail your bio and/or resume. Thank you for your interest.