Speaker application

Speaker Application

Share Your Story

Do you have a story about how God brought you through a difficult situation and provided healing, restoration, and reconciliation in your life? Others may need to hear your story. Please apply to speak at one of our conferences. All applications will be prayerfully considered.

Please choose an event you'd like to speak at

Name *

First

Last

Email *

Your Phone Number *

Street Address

Street Address Line 2

City

State

Zip Code

Best Time to Reach You

Testimony / Testimonio

Please tell us about your testimony. What would you like to speak about? Be sure to include enough of your story that we know what your subject matter is. ESP: Por favor, cuéntanos sobre tu testimonio. ¿de qué te gustaría hablar? Asegúrese de incluir suficiente de su historia para que nos ayude a identificar cuál es su tema.

Supportive Scriptures

Hearts Being Healed is focused on women and God’s restoration. Please give us a summary of scriptures that support your testimony.

Visual Aids / Ayudas Visuales

What type of visual aids, if any, will you be using? Will you have handouts? (Please note: If you are planning to use Power Point, you will need to provide your own laptop and projector.)/Qué tipo de ayudas visuales, si alguno, va a utilizar? ¿tendrá información escrita? (Observe por favor: Si usted está planeando utilizar power point, usted tendrá que proporcionar su propio ordenador portátil y proyector.)

Pastoral Reference / Referencia Pastoral *

First

Last

Please provide a pastoral reference/Por favor proporcione una referencia pastoral: (por favor incluya una breve carta de referencia de su pastor): This is needed to provide credibility

Church Affiliation / Afiliación Cristiana

Pastor's Phone Number *

Number of month(s)/year(s) acquainted / Número de mes (es)/ano (s) conocido *