Apply to be a Speaker for the Palo Alto Chapter of Polka Dot Powerhouse

Thank you for your interest in speaking to the Palo Alto Chapter of Polka Dot Powerhouse

WHAT IS POLKA DOT POWERHOUSE: We are an amazing, totally unique CONNECTION company. It is our mission to connect the world's most positive, action-forward, amazing women to build lifelong friendships and business relationships. You do not have to be a business owner to enjoy the benefits of membership. We currently have around 60 chapters all over the world filled with women who crave sisterhood, connection, growth and positivity.

If you have any questions, please feel free to reach out to our Managing Director, Suszi McFadden via email at [email protected]

Thank you again and we look forward to reviewing your application!

Step 1:

Speaker Release & AuthorizationDownload, Print, Sign, Submit

Step 2: Complete the Application in full

Palo Alto Chapter of Polka Dot Powerhouse Speaker Application

Full Name *

Email *

Phone *

We give members first priority to speak, are you a member of Polka Dot Powerhouse? (Being a member is not required)

Yes! I'm a Dot Sister!

No, I'm not a member of Polka Dot Powerhouse

I'm interested, tell me more about becoming a Dot Sister!

Topic/Catchy Title of your talk

Brief description of your talk

3 things attendees can expect to learn

Short Bio for Introduction and to put on the PDP Website

Ice Breaker Question (asked during introduction time in meeting)

Link to Your Website

Social Media Links (for connection and tagging)

Have you recently spoke for a chapter meeting? Name of the chapter and when?

As a speaker, what are you hoping to receive from sharing your story and expertise with the attendees?

Please upload your Headshot

Upload the Signed Media Release *

I acknowledge that my talk and presentation is not to include a sales or product pitch. No logo or contact on slide presentation. I agree to a social media post, will share the post, and invite my social media following to attend

I agree