Getaway speaker Form 2024

Getaway 2024 Breakout Leader Form

Thanks for being willing to serve as a Breakout Speaker at our 2024 Women’s Getaway this November 1-2 and 2-3, 2024. 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 or session description to Jenee’, please do so below. Thanks!

Name

First Name

Last Name

Email

Phone

(###)

###

####

Address

For mileage reimbursement if applicable

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 Kaylan (office administrator) at kdunning@wmuv.org after submitting this form. Please send by 10/29, and indicate how many copies you would like printed.

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

Your Breakout Title & Description (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

If you need anything else we can help with, list below

Getaway 2024 Breakout Leader Form

Woman’s MissionaryUnion of Virginia

Woman’s Missionary
Union of Virginia