2025 Moderator Sign-up Form

Interested in leading a conversation at a Social Hour in 2025 ? Fill out some info and we will be in touch shortly!

Name

First Name

Last Name

Email

Phone

(###)

###

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What topic do you want to moderate for a Coffee Hour?

What background/qualifications help you bring this topic to our event?

Preferred month you want to moderate:

Note: We will try to fit you according to your preferred month, but it will ultimately be up to our community calendar.

Any other thoughts or feedback?

Yeehaw!