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Event Registration Form

Please complete the form below to register as a community member, speaker, or partner for our upcoming event.

Event Registration Form (for Women Leaders)

First Name

Last Name

Phone Number (optional)

Job Title / Position

Company / Organization

Industry / Sector

Country

Location

I am registering as a: (Select one)

Join the Community

Speaker or Thought Partner

Sponsor or Strategic Partner

Join the Community

(for Women Leaders)

1. What leadership role do you currently hold, and how are you creating impact within your organization or community?

2. What motivates you to join this community of women leaders?

3. In what ways would you like to contribute to the community? (Select all that apply)

Sharing my expertise

Mentoring others

Collaborating on initiatives

Advocating for women in leadership

Speaking or hosting sessions

Learning and development

Apply to Speak

(Speakers / Thought Partners)

1. What topic(s) are you passionate about speaking on? Please include the proposed title and a short description.

2. Why is this topic relevant and timely for women in leadership?

3. Please provide a brief summary of your previous speaking experience. You may include links or notable highlights if available.

4. What are the key takeaways or outcomes you aim to deliver to the audience?

Partner With Us

(Sponsors / Strategic Partners)

What type of organization do you represent?

Corporate

Small or Medium Enterprise (SME) / Startup

Educational Institution

Non-profit / Foundation

Government / Public Sector

Other (please specify)

2. What is your organization’s mission or current initiative related to diversity, equity, inclusion, or women empowerment?

3. Why are you interested in partnering with this event or community?

4. What type of partnership are you most interested in? (Select all that apply)

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Event Registration Form

I am registering as a: (Select one)

Join the Community

Apply to Speak

Partner With Us

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