Getaway Speaker Form

Getaway 2023 Breakout Leader Form

Thanks for being willing to serve as a Breakout Speaker at our 2023 Women’s Getaway this November 3-4 and 4-5, 2023. We want you to feel equipped to lead your session, so please fill out the following form for tech and support needs. If you have not already submitted a 2-3 sentence biography to Valerie, please do so below. Thanks!

Name

First Name

Last Name

Email

Phone

(###)

###

####

What will you need for your breakout?

Check all that apply. If you have a need not listed, list below or contact Celia: cjones@wmuv.org

LCD Projector (computers not provided)

Flip Chart & Easel

CD Player

TV/DVD Player

Most breakout classrooms except crafts are set up lecture-style. If you'd like a different setup (ex in the round, at tables) indicate below.

Will your breakout offer handouts?

If yes, please email files to Sheryl: ssmith@wmuv.org after submitting this form. Please send by 10/30 and indicate how many copies you would like printed.

Your Speaker Bio (If you have already submitted, leave blank)

Book/ Resource Recommendation

Would you like to recommend a book or resource related to your breakout that attendees could purchase? We may purchase some copies to sell at the store.

Other Needs

Additional needs or anything else we need to know to equip you for your breakout session?

Getaway 2023 Breakout Leader Form

Woman’s MissionaryUnion of Virginia

Woman’s Missionary
Union of Virginia