WRISE

WRISE Speakers Bureau and Advocate Program Application


Permission to share the information you provide:

Women of Renewable Industries and Sustainable Energy (WRISE) will share the information (first name, last name, title, company, bio) provided on this form via a public facing website and will use the information you provide on this form to be in touch with you and to provide local and national updates. By signing up for the Speakers Bureau, you agree to be communicated with by WRISE, our local chapters, event organizers and advocacy organization via the program portal. Your personal contact information will not be shared publicly by participating in this program.


By selecting yes you are agree to the statement below "Permission to share the information you provide"

Contact Details















Select all that apply by holding the Ctrl key (Windows) or the ⌘ key (Mac) while making selections


Select all that apply by holding the Ctrl key (Windows) or the ⌘ key (Mac) while making selections


Select all that apply by holding the Ctrl key (Windows) or the ⌘ key (Mac) while making selections


Please upload a png or jpeg. For best results the recommended picture size is 200 x 200 pixels. 
Speaker Details

**If you select this option, we will add you to our newsletter for upcoming opportunities

Select all that apply by holding the Ctrl key (Windows) or the ⌘ key (Mac) while making selections


We will also be launching a speaker training program that will also support the community at-large as individuals work to develop and refine their public speaking skills. Please let us know your interest in the speakers program below.

Note: The speaker training program is under development, expressing interest here means you will get emails about the program and more information about how it will work and can decide on the specifics of your engagement and availability at that time to support as a coach.

**If you select this option, we will add you to our newsletter for upcoming opportunities

**If you select this option, we will add you to our newsletter for upcoming opportunities
Social Media Details