Program Proposal Form

First Name *

Last Name *

Pronouns

she/her he/him they/them ze/hir

Email *

Position/Title *

Company Name *

Is this company a member of the Chamber? *

Enter required value Yes No

Cell Phone *

Website

Program/Presentation Title *

Briefly describe your topic (2-3 sentences) *

Program Outline (key content, any interactive components, and intended learning objectives) *

What are three key takeaways that participants will gain from attending your presentation?

Label 1. 2. & 3. in response

How will this presentation provide practical value to attendees?

Please describe specific tools, strategies, or insights participants will be able to apply after attending.

Who is the primary target audience for this presentation?

Small Business Owners Other Corporate Professionals Nonprofit Leaders Entrepreneurs Young Professionals All Audiences

What category best describes your proposed program?

Business Development Other Marketing/Branding Finance/Funding Leadership Development DEI/Workplace Inclusion Entrepreneurship Professional Skills Community & Civic Engagement

How long is your presentation (including any Q&A)? *

Does your presentation require a limit on the number of attendees?

This limit may be due to the format or interactive components.

Yes No

If a limit on the number of attendees is required, please explain.

Suggested Presentation Format *

Please indicate the time/format you feel would best fit your program; morning, mid-day, or after-hours.

Morning

Lunch

Afternoon

After Hours

What types of A/V equipment or other materials are needed? *

What type of room layout is ideal for your presentation?

Theater Style

Classroom Style

Table Rounds

Do you have a specific location in mind? *

(Note: Generally, programs will be held at different Chamber member locations or other locations approved by the Chamber.)

Yes

No

If yes, what specific location are you recommending?

Will you sponsor the event? *

(sponsorship may include food & beverage, parking, etc.)

Yes

No

Please share any comments about potential sponsorship of the event.

Please upload your company logo (jpg or png format) *

20MB max

Please provide a brief marketing bio (one short paragraph) *

You may upload a longer bio or resume below.

Please upload speaker headshot (jpg or png format) *

20MB max

Have you presented this program before?

Yes No

If yes, please explain:

Please list where and when it was presented and other relevant experience related to the topic presentation.

Handouts / Other Materials

You may upload any handout materials, full bio, professional resume, etc. for review and consideration.

20MB max

Video Link

If you have a video you would like us to view, please enter the URL here.

Will there be additional presenters?

Yes No

If yes, please list their names, titles, and organization(s).

How will presenting this program benefit you and/or your organization? *

How will you promote this program to your network and encourage attendance? *

Examples may include email marketing, social media promotion, or partner outreach.

Have you previously promoted this presentation?

Yes No

If yes, please describe the promotional content or campaigns you have used.

Email, social media, events, etc.

Do you grant the Chamber permission to record your presentation? *

Do you grant the Chamber permission to record and share this presentation for promotional or educational purposes?

Enter required value Yes No

Please indicate your agreement with the statement below: *

By submitting this proposal, I confirm that the information provided is accurate and that I have the authority to submit this proposal on behalf of myself or my organization. I understand that program acceptance is at the discretion of the Greater Houston LGBTQ+ Chamber of Commerce.

I also acknowledge that Chamber programs may be photographed or recorded, and I grant permission for the Greater Houston LGBTQ+ Chamber of Commerce to use photographs, video, or audio from the program for marketing, promotional, educational, or archival purposes.