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Proposed Speaker's Profile

Thank you for your interest in joining the Speakers Bureau. Please complete and return this application to us at [submission address tbd].

Application for the Social Media Subcouncil's Speakers Bureau constitutes agreement to the following terms:

1. All presentations given on behalf of the Speakers Bureau will be provided free of charge.

2. All presentations given by Speakers Bureau participants will become part of the Speakers Bureau Resource Library and made available to all other speakers to aid them in the construction of future presentations. Submit presentations to the Social Media Subcouncil's wiki [submission address TBD] within one week of the presentation date.

3. Your name, organization and city base will be listed on the Speakers Bureau page and potentially used in press releases and other promotional efforts for the Speakers Bureau.

4. You alone are responsible for making contact with the booking company or organization for any engagement, postponement or cancellation of any speaking engagements.

5. You agree to provide the Speakers Bureau Advisory Committee with written notice (by e-mail) of the date, location, time and contact for each speaking engagement booked as a result of the Bureau.

6. You agree to grant the Speakers Bureau Advisory Committee authority to terminate your membership if you violate of any of these terms.

Name:

Title:

Organization:

Type of organization (government agency, vendor, private company, etc.):

City where you are based:

Mailing address:

Email:

Phone:

Organization homepage:

Above here, I can understand - after this I believe the URL of the proposed speaker's web site, blog and a referee would suffice to show ability. You might also ask them to show their slideshare page or what have you. However, many of the best speakers do not like slides !

The individual should probably then be allowed to speak with the conference or event organiser. To ask all these details below in advance seems quite demanding. Speakers could talk with the event organiser, and a conclusion might be reached that way. It would save both parties some considerable time and effort.

URL of corporate bio, Facebook or LinkedIn profile, etc.: 

1. Provide a brief overview (one paragraph) on your experience in or with social and / or new media. Focus on government application of Web 2.0 / social media / new media is highly desired, but not mandatory.

2. List your three most recent public speaking engagements. For each appearance, include the date and title of the event, topics covered, and your role (moderator, panelist, sole speaker, etc.)

3. Provide links to any recent publications on these topics, including personal blogs or online community posts.  

4. Provide three references who can verify your professional and/or speaking experience. Include each reference’s full name, organization and email address.

5. Indicate how far you're willing to travel for speaking engagements.

6. Check those from the list below that you are comfortable addressing in a presentation

Blogs

Microblogs (e.g. Twitter, Yammer)

Mashups

RSS Feeds

Social Bookmarking

Social Networking (My Space, Facebook, LinkedIn, GovLoop, etc.)

Online audio files/podcasts

Online picture/video sharing (Flickr, YouTube)

Virtual environments (SecondLife, etc.)

Widgets

Wikis

Other (explain)

7. Check topics from the list below that you are comfortable addressing in a presentation: 

Planning and strategizing

Conducting research

Identifying best practices, applying results

Developing proposals/business cases

Gaining buy-in / approval

Overcoming barriers

Promoting benefits of social / new media

Educating your organization and leaders on social / new media

Implementation

Customizing best practices

Partnering between IT, Communications & other functions

Developing policy

Educating staff

Creating new roles, responsibilities

Guiding your group through change

Reporting your activities

 Branding your organization using new media

Addressing legal issues

Evaluation / measurement

Conducting research

Developing relevant metrics and targets 

Critical success factors

Other (describe)