Speakers Information Form

Want to speak to fellow BCRCC members? How about other groups? Kindly complete this form (the more information the better) to be considered for a speaking opportunity. Your request will be forwarded to the appropriate committee/council for review.

Please note that BCRCC requires a 4 month lead time on programs. All program proposals will be saved for future use. Your presentation must be educational in nature – no sales presentations, please. If you’d like to make a sales presentation, please email Kristi Howell at khowell@bcrcc.com.


Fields marked with an * are required.

Please verify that you have checked the “I'm not a robot” checkbox.

Are you a current Chamber member?
Mark only one choice.

Yes
No
No, but I am considering membership

Please list the topic(s) you can speak on, including 3 takeaways that our audience will learn from your presentation.
Please limit your submission to 1 topic per form.

Please check off any that apply to your presentation.
Check all that apply.

PowerPoint or other slides
Handouts
Certificate of Completion
Other visual aids
None
Other

If you selected other, please list.

Mark only one.

Workshop (1 Hour)
Roundtable (15-20 Minutes)
Keynote (20-25 Minutes)
Other

If you selected other, please list.

Please check off all groups that apply.

General Membership Luncheon Keynote
Lunch & Learn
HR, Education, & Workforce Council
Emerging Leaders Network
Women's Business Network
Healthcare Issues Council
Economic Development/Government Affairs Roundtables
Executive Connection Network
Nonprofit Council
Local Business Association Council
Hospitality Council
Healthcare Conference
Education & Workforce Conference
Other

If you selected other, please list.

Next 3-4 months
This year
Specific month
Anytime

If you selected a specific month, please list:

Is your presentation timely?

Yes
No

If you selected yes, please list why:

Please list your past speaking experiences.

BCRCC frequently gets asked for speaker referrals for local business associations, Rotary/Kiwanis, other Service Clubs, etc. Can we share your information with other groups?

Yes, you can share my information with other groups.
No

Please list any questions or comments you may have.

Is there any additional information you'd like to share?