1555 Sherman Ave, #173
Evanston, Illinois 60201
© Activism in Adoption

AiA Speaker & Panelist Marketing Form


The information gathered on this form will be used to promote your session. Please complete and submit this form a minimum of 6 weeks prior to your session so that we have ample opportunity to spread the word. The more information you provide, the better we are able to promote you! 

If you have any questions, please reach out to Torie DiMartile at torie@activisminadoption.org or Heather Janiga at heather@onyourfeetmidwest.org. We are really looking forward to working with you! Thank you! 

*If you have not already submitted a speaker application, please do that before completing this form.

About You


First Name *
Last Name *
Suffix
Phone Number (Required)
ext Extension
Connection to Adoption (please check all that apply):
Payment Information:

Bio:
Special Projects:
Why is Activism in Adoption Important? Why do you, specifically, want to participate?
Public social Media Links & Website (if applicable):

About Your Session


Please Indicate Your Availability:
Session Title:
Session Description:
Why is this topic important?
Who should the audience be and why?
Please submit your headshot, if you have not already done so:
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Please submit your slides, if available:
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Speaker Contract

We do hereby enter into a contract under the following terms and conditions:

  1. I hereby agree to participate in On Your Feet Foundation’s Adoption Education Series, Activism in Adoption (AiA), as a speaker. This session will take place on a date to be mutually agreed upon and will be 90 minutes in length. 
  2.  In consideration of the services described above, On Your Feet Foundation agrees to pay a fee in the amount of $250 for an individual speaker or $100 per panelist. Guest moderators are paid $250.
  3. Payment will be made immediately following the session via Zelle (preferred), PayPal or check according to the information provided above.
  4. The 90-minute session will be recorded. On Your Feet Foundation will edit the recording, adding appropriate credits, and will use the recording as part of its Adoption Education Platform (ActivisminAdoption.org). Any revenue or donations received as a result of AiA participation go to supporting the mission of On Your Feet Foundation.
  5. On Your Feet Foundation will promote the live via Zoom session on social media and other avenues as it sees fit. 
  6. The live via Zoom session will be $15 to attend and complimentary to BSA and AiA sponsor clients. The speaker will be provided with a promo code and may extend invitations to whomever they choose in order that their guests may attend free of charge using the provided code. The speaker will receive access to the recording for their own use.
  7. Unless otherwise indicated or desired by the speaker, the session will be moderated by On Your Feet’s Executive Director, Alexis Eyler. On Your Feet Foundation will solicit questions both before and during the session, and questions will be screened by OYFF staff. 
  8. Any slides or other media that the speaker plans to use will be shared with OYFF staff prior to the session. If the speaker would like assistance in creating slides or graphics, OYFF staff will assist the speaker at no charge. The slides will be available for the speaker’s use in perpetuity. 

I agree to the above terms and conditions:

Signature
This agreement is entered into on: