Fire & EMS Speaker Bureau Application & Criteria

The following criteria have been established, by our executive counsel, for acceptance into the Fire & EMS Speaker Bureau:

Speaker Information
Name * Required
Address * Required
City * Required
State * Required
Zip * Required
Email * Required
Phone * Required
Fax  
Speaker Background
Profession * Required
Job Title * Required
Affiliation * Required
Speaker Narrative
Current Topics (bulleted list)
Conference History (bulleted list)
Publications/Special Projects
Fees
Speaker Fee
(Not including travel & lodging)		 $ * Required
Submit Information