Please take the time to complete this form in as much detail as possible. Once submitted, please allow 2 business days for an update.

Full Name *

Phone *

Email *

Course Title *

Learning Objective 1 *

Learning Objective 2 *

Learning Objective 3 *

Brief Course Outline *

How will this educational workshop enhance the women of "She Became Her"? *

Have you ever presented before? *

Yes I have

No this will be my first time

How soon would you be able to teach your workshop?

I understand that I am volunteering to give back to the community by teaching and bringing awareness within my expertise. This is not an opportunity to "promote" or "sell" my course, product, business or services.

I understand.

I understand that before I am approved I will need to submit my presentation slidedeck for the workshop to leadership for final approval.

I understand

I confirm that I want to receive content from this "She Became Her" using any contact information I provide.