By completing this form I am requesting to be considered for The Bureau by LeadingRE. I understand The Bureau is a speakers and consultancy offering for LeadingRE members and is not an offering for outside the LeadingRE network.

Question Title

* 1. My Name

Note: If there are certifications you wish to have listed on your profile, please note them in the field "Certifications". Any titles listed in the "Name" field will be removed.

Question Title

* 2. Certifications

Question Title

* 3. My Title

Question Title

* 4. My Company

Question Title

* 5. My Company Address

Question Title

* 6. My Phone Number

Question Title

* 7. My Email Address

Question Title

* 8. Please select the description that most closely matches your request.

SPEAKER APPLICANTS ONLY RESPOND TO QUESTIONS 8-12. When questions 8-12 are complete, proceed to question 16 to complete the survey.
CONSULTANTS skip to question 13 and complete the remainder of the survey.

Question Title

* 9. Speakers: I can provide videos of my past speaking engagements and/or feedback from prior speaking engagements.

Question Title

* 10. Speakers: Please provide references contact information and/or video links in the space provided.

Question Title

* 11. Speakers: My speaking services include:

Question Title

* 12. Speakers: My Topics include

Question Title

* 13. Speakers: My ideal audience is comprised of:

SPEAKERS ONLY: Please proceed to Question 16 and complete the remainder of the survey.

Question Title

* 14. Consultants: I can provide examples of my past consulting engagements, professional experiences and areas of expertise.

Question Title

* 15. Consultants: Please provide references/contact information for previous consulting engagements.

Question Title

* 16. Consultants: Do you provide services such as temporary help? For example – if an office had a relocation director who left unexpectedly, would you be open to performing as an interim relocation manager?

Question Title

* 17. Speakers and Consultants: What are your travel requirements? (please indicate reimbursement expectations, travel and hotel accommodation expectations)

Question Title

* 18. For Speakers and Consultants: Please indicate your fees as a speaker and/or consultant.

Question Title

* 19. For Speakers and Consultants: What is your availability?

Question Title

* 20. For Speakers and Consultants: Please identify any restrictions such as time out of office limitations, not speaking to competitors, etc.

Question Title

* 21. Speakers: My topics include (please list all that apply):

Thank you for completing The Bureau Application Form. You will be contacted to discuss and complete the application process.

T