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Speakers Bureau Application
First Name
Last Name
Email
Phone
Gender
Pronouns
Race/Ethnicity
LGBTQIA+
Yes
No
Please tell us any other ways you identify
Retreats attended (location & year)
Other programs attended (name, location/online & year)
How would you define or describe mindfulness?
What’s been one of the greatest benefits of attending an Inward Bound retreat?
How has the practice of mindfulness impacted your daily life?
Why are you interested in becoming a member of the Inward Bound Speakers Bureau?
Do you have any prior public speaking and/or leadership experience? If yes, please briefly share.
Any additional thoughts or concerns you’d like to share?
Contact Information