Apply to be a Speaker for the Worldwide Chapter

of Polka Dot Powerhouse!

Thank You for Your Interest in Speaking at Our Worldwide Chapter Virtual Meetings

We're so excited that you're interested in being a featured speaker for our Worldwide Chapter! These virtual gatherings bring together women from all walks of life, entrepreneurs, professionals, creatives, community leaders, and beyond, who are committed to building authentic connections and uplifting one another.

We’re honored by your desire to share your message with our global sisterhood. Whether your story stems from personal growth, leadership experience, professional wisdom, or simply your passion to empower others, we welcome voices that inspire, educate, and encourage meaningful conversation.

Thank you for stepping forward to contribute your unique voice to our community. We can't wait to learn more about you!

Before you apply, please understand the following:

You are an active member of the Worldwide Chapter at the time of your presentation
Presentations should not be “salesy” in tone or content, but informational.
Length of your presentation between 20-25 minutes including Q&A
If you are using a slide presentation, please do not include your business name, logo or have an offer on any of the slides.
You can share your offer in the Chat box during the New Products, Services, Events section of the meeting. We encourage you to bring this information and scheduling link for the virtual marketing table via the chat on zoom.
You will receive an email notification stating your application has been received. If selected to speak, we require a dry run of your complete presentation with our speaker panel.
Speakers MUST commit to presenting for BOTH monthly connect meeting times. First Tuesday at 3:00 PM Central & Third Monday at 11:00 AM Central.
Event Attendance: As a speaker, we encourage you to invite guests. We ask that you have at least one guest at each meeting you speak at. A guest can attend ONE Polka Dot meeting as a guest without a Polka Dot Powerhouse membership.
Please understand that ALL information must be complete for your application to be reviewed.

Step 1:

Speaker Release & AuthorizationDownload, Print, Sign, Submit

Step 2: Complete the Application in full

Polka Dot Powerhouse Worldwide Chapter - Speaker Application

Full Name *

Email *

Phone *

Topic/Catchy Title of your talk that appeals to every woman including those who do not have a business

Brief description of your talk

3 things attendees can expect to learn

In lieu of reading your 1 minute Bio before you speak, these three questions will be asked so the audience gets to know you better. 1) Personal-What brings you the most joy outside of your work? 2) Professional-What inspired you to do what you do? 3)Polka Dot-Which of the 3 has impacted you the most, connection, collaboration or celebration?

Ice Breaker Question (asked during introduction time in meeting)

Link to Your Website

Social Media Links (for connection and tagging)

Have you recently spoke for a chapter meeting? Name of the chapter and when?

As a speaker, what are you hoping to receive from sharing your story and expertise with the attendees?

Have you attended the Worldwide Online Connects?

I attend every month

I've attended 3 or more in the last 12 months

I've attended 1 or more in the last 12 months

I've never attended a Worldwide Chapter Online Connect

Please upload your Headshot

Upload the Signed Media Release *

I acknowledge that my talk and presentation is not to include a sales or product pitch. No logo or contact on slide presentation. I agree to promote the event on my social media profiles and will invite at least 1 guest per meeting of which I present at.

I agree