In-Person Connect
Speaker Submission Info
CWIMA EVENT
*
In-Person Connect Event
Other
Date of Event
*
Please Select
January 15, 2026
March 19, 2026
May 21, 2026
July 16, 2026
September 17, 2026
November 19, 2026
Date of Event
*
-
Month
-
Day
Year
Date
Please select your Connection City
*
Atlanta, GA
Birmingham, AL
Charlotte, NC
Dallas, TX
Hollywood, CA
Nashville, TN
New York, NY
Phoenix, AZ
Puerto Rico
None by Me
Connect Leader (Your) Name
*
Please Select
Brandy Gibson
Elizabeth Negron Figueroa
Karin Daniel
Karon Smedley
LeaAnn Pendergrass
Lisa Hooks
Maggie Kavanaugh
Nicole Estelle Roman
Rachel Britton
Rosemary Green
Location
*
Same Location as before
New location (if new please list address below)
Address of Event
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Begin & End Time of Event:
*
(ie: 11:30am - 1:30pm)
Deadlines to Register & Cost if any
*
(ie: Deadline Jan 13 @4pm)
Speaker #1 Role
*
Please Select
Keynote
Devotional
Media Enrichment
Music
Panelist 1
Panelist 2
Panelist 3
Panelist 4
Speaker #1 Full Name (A)
*
First Name
Last Name
Speaker #1 Media Title (B)
*
Please enter Speakers Media title ie: Author, Podcaster etc.
Speaker #1 - Speaking Topic Title (C)
*
Speaker #1 - Subtitle (C)
Speaker #1 - Speaking Topic (C)
Speaker #1 Media Title (B)
(related to Christian Women in Media ie: Podcaster, Author)
Speaker #1 Promo Blurb (D)
*
Blurb that creates interest for the woman to attend. What's in it for her? Try to keep it brief with 2-4 sentences. More details including speaker bio will be on the website. The key is to get them to click with interest.
Speaker #1 Company / Brand Name
*
Speaker #1 Social Media Handle (s)
*
Facebook
lnstagram
Linked in
Speaker #1 Social Media handle info
@instagran @Facebook
Speaker #1 Website
@instagran @Facebook
Speaker #1 Headshot
*
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Speaker #1 Bio
*
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Please ensure the bio is 200 words or less
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2nd Speaker .....
Speaker #2 Role
*
Please Select
Keynote
Devotional
Media Enrichment
Music
Panelist 1
Panelist 2
Panelist 3
Panelist 4
Speaker #2 Full Name (A)
First Name
Last Name
Speaker #2 Media Title (B)
(related to Christian Women in Media ie: Podcaster, Author)
Speaking #2 Topic (C)
Speaking Topic speaker will be sharing
Speaker #2 Promo Blurb (D)
Blurb that creates interest for the woman to attend. What's in it for her? Try to keep it brief with 2-4 sentences. More details including speaker bio will be on the website. The key is to get them to click with interest.
Speaker #2 Company / Brand Name
ie; pocaster business name, company name etc.
Speaker #2 Social Media Handle (s)
Facebook
lnstagram
Linked in
Speaker #2 Social Media handle info
@instagran @Facebook
Speaker #2 Website
@instagran @Facebook
Speaker #2 Headshot
Upload a File
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Choose a file
Please submit a high resolution photo that is not tightly cropped. We will crop it appropriately.
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Speaker #2 Bio
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Do you have a3rd Speaker? (If no click submit)
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Yes (ontinue by clicking next)
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3rd Speaker .....
Speaker #3 Role
*
Please Select
Keynote
Devotional
Media Enrichment
Music
Panelist 1
Panelist 2
Panelist 3
Panelist 4
Speaker #3 Full Name (A)
First Name
Last Name
Speaker #3 Media Title (B)
(related to Christian Women in Media ie: Podcaster, Author)
Speaking #3 Topic (C)
Speaking Topic speaker will be sharing
Speaker #3 Promo Blurb (D)
Blurb that creates interest for the woman to attend. What's in it for her? Try to keep it brief with 2-4 sentences. More details including speaker bio will be on the website. The key is to get them to click with interest.
Speaker #3 Company / Brand Name
ie; pocaster business name, company name etc.
Speaker #3 Social Media Handle (s)
Facebook
lnstagram
Linked in
Speaker #3 Social Media handle info
@instagran @Facebook
Speaker #3 Website
@instagran @Facebook
Speaker #3 Headshot
Upload a File
Drag and drop files here
Choose a file
Please submit a high resolution photo that is not tightly cropped. We will crop it appropriately.
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Speaker #3 Bio
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Do you have a4th Speaker? (If no click submit)
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4th Speaker .....
Speaker #4 Role
*
Please Select
Keynote
Devotional
Media Enrichment
Music
Panelist 1
Panelist 2
Panelist 3
Panelist 4
Speaker #4 Full Name (A)
First Name
Last Name
Speaker #4 Media Title (B)
(related to Christian Women in Media ie: Podcaster, Author)
Speaking #4 Topic (C)
Speaking Topic speaker will be sharing
Speaker #4 Promo Blurb (D)
Blurb that creates interest for the woman to attend. What's in it for her? Try to keep it brief with 2-4 sentences. More details including speaker bio will be on the website. The key is to get them to click with interest.
Speaker #4 Company / Brand Name
ie; pocaster business name, company name etc.
Speaker #4 Social Media Handle (s)
Facebook
lnstagram
Linked in
Speaker #4 Social Media handle info
@instagran @Facebook
Speaker #4 Website
@instagran @Facebook
Speaker #4 Headshot
Upload a File
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Choose a file
Please submit a high resolution photo that is not tightly cropped. We will crop it appropriately.
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Speaker #4 Bio
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