APPLY TO TEACH, COACH, OR SPEAK AT BOSSES UNIVERSITY

First name

Last name

Email

Phone

INSTAGRAM | WEBSITE

CITY, STATE

PROFESSIONAL BACKGROUND

WHAT DO YOU DO? (INDUSTRY + SPECIALTY)

HOW LONG HAVE YOU BEEN IN YOUR FIELD?

DO YOU CURRENTLY TEACH, COACH, OR MENTOR?

YES

NO

WHATS YOUR "SIGNATURE TOPIC" OR FOCUS WHEN TEACHING? (1-2 LINES)

WHAT KIND OF SESSION WOULD YOU LIKE TO LEAD? CHECK ALL THAT APPLY

WORKSHOP (60-90 MINS)

PANEL \ INTERVIEW

FIRESIDE CHAT

CONTENT CO-CREATION

PRIVATE COACHING (VIP)

SOMETHING INTERACTIVE / UNIQUE

WHAT TOPIC(S) WOULD YOU BE EXCITED TO TEACH? (MAX 3)

WHAT'S YOUR TEACHING VIBE OR COACHING STYLE?

WHAT DOES THIS OPPORTUNITY MATTER TO YOU? IF YES SHARE A LINK OR PAST EXAMPLE

HAVE YOU SPOKEN OR COACHED ANY EVENTS BEFORE? IF YES, SHARE A LINK OR PAST EXAMPLE*

YES

NO

FILE UPLOAD

ARE YOU AVAILABLE FOR THE FULL WEEKEND IN CHICAGO?

YES

NO

ARE YOU OK WITH BEING FILMED OR RECORDED WHILE TEACHING?

YES

NO

UPLOAD A 60-90 SECOND CREATIVE VIDEO ON WHY YOU SHOULD BE SELECTED (TAG @BOSSESUNIVERSITY AND USE #BUAPP2025)