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Speaker Bureau Application Form
The Government Finance Officers Association of Pennsylvania (GFOA-PA) seeks qualified individuals to speak at state and regional events on a multitude of topics. Speaking opportunities could be in-person at events across the state or via webinar. Please complete the form below if you have expertise to share with our members related to the finance industry.
Instructions: Please complete the online application below and click submit.
Fields marked with an asterisk ( * ) must be filled in before submitting the application.
Name: *
Title:
Designations:
Organization Name:
Address:
City:
State: Zip:
Phone Number: *
Cell Phone Number:
Email Address: *
GFOA-PA Member:
*
Photo: - Allowed image file formats: PNG, GIF, JPG/JPEG
- Optimal image dimensions: 175 x 200 pixels
Speaking Topics:
(Check all that apply)













 
 
Presentations: In the space provided below. Please indicate specific presentations you are qualified to deliver within the general topic areas you selected above:
 
Speaker Fee:
(Check all that apply)
 

 
Speaker Biography: Please include any relevant information about your role or expertise that qualifies you to speak on these topics. (Limit to 100 characters.)
 
Social Media Links:
Facebook URL: 
Twitter URL:  
LinkedIn URL:  
Video Links: (Please enter up to three videos of past presentations, if available.)
 
 
 
References: List groups and/or individuals who have heard you speak (Please include a contact name and number, as well as when each presentation occurred.)
Experience: In the past 2 years, how often have you spoken in a public forum? *
 


Location: In what areas of the state are you willing to speak? *
 
East region (Berks, Bucks, Carbon, Chester, Monroe, Delaware, Lackawanna, Lehigh, Luzerne, Philadelphia, Montgomery, Northampton, Schuylkill, Susquehanna, Pike, Wayne, Wyoming and Columbia)
Central region (Adams, Bedford, Blair, Bradford, Cameron, Centre, Clinton, Cumberland, Dauphin, Elk, Fulton, Franklin, Huntingdon, Juniata, Lancaster, Lebanon, Lycoming, McKean, Mifflin, Montour, Northumberland, Perry, Potter, Snyder, Sullivan, Tioga, Union and York)
West region (Allegheny, Armstrong, Beaver, Butler, Cambria, Clarion, Clearfield, Crawford, Erie, Fayette, Forest, Greene, Indiana, Jefferson, Lawrence, Mercer, Somerset, Venango, Warren, Washington and Westmoreland)
All of Pennsylvania
Participation Agreement:
  1. I understand my name, contact information, bio, and speaking topics will be listed as part of GFOA-PA’s speaker bureau, which the association makes available to members only.
  2. As a participant in GFOA-PA’s speaker bureau, my presentation will be non-commercial in nature and is for informational/educational purposes only.
  3. GFOA-PA is not responsible for any speaking arrangements. Arrangements are the responsibility of the association member and the speaker, and should be made by mutual agreement.
  4. If a member of the association interested in my speaking services contacts me, I will make every reasonable effort to accommodate his/her request.
  5. GFOA-PA has the right to terminate my participation in the speaker bureau if I have not adhered to #2, #3 or #4 above.
  6. I may terminate my participation in the speaker bureau at any time by providing written notice to GFOA-PA.
174 Crestview Drive . Bellefonte, PA 16823
Phone: 814.357.9198 . Fax: 814.355.2452 . Email: info@gfoapa.org