Speak at the Summit

SPICY AWARDS SUMMIT 2026 – SPEAKER APPLICATION FORM

Theme: Pathways to Inclusive Leadership
Dates: 12 September 2026
Location: Nairobi, Kenya
Host: Spice Without Borders – In partnership with Spicy Awards

🔹 SECTION 1: PERSONAL INFORMATION

Please complete all required fields (*).

1. Full Name:*
2. Preferred Pronouns:
3. Organization / Affiliation:*
4. Title / Position:*
5. Country / Region:*
6. Email Address:*
7. Phone Number (with country code)*:
8. LinkedIn / Website / Portfolio Link:
9. Upload Professional Photo (Headshot)*:
   (JPEG or PNG, minimum 800x800px)

🔹 SECTION 2: SESSION ROLE & PREFERENCE

1. *I am applying to be a:
   ☐ Keynote Speaker
   ☐ Panelist
   ☐ Breakout Session Facilitator
   ☐ Moderator / Host
   ☐ Other (please specify): ___________
2. *Preferred Topic or Focus Area (choose up to 2):
   ☐ Innovation & Social Impact
   ☐ Gender Equity & Inclusion
   ☐ Youth Leadership & Mentorship
   ☐ Environmental Justice & Sustainability
   ☐ Creative & Cultural Entrepreneurship
   ☐ Transformative Leadership
   ☐ Other (please specify): ___________
3. *Session Type Preference:
   ☐ Individual Talk (10–15 mins)
   ☐ Fireside Chat / Dialogue (20–30 mins)
   ☐ Panel Discussion (45–60 mins)
   ☐ Interactive Lab / Workshop (60–90 mins)

🔹 SECTION 3: PRESENTATION DETAILS

1. *Proposed Session Title:
2. Session Abstract / Description (150–200 words):*
   (What key ideas, stories, or frameworks will you share?)
3. *Intended Outcomes or Takeaways:
   (What should participants learn, feel, or do after your session?)
4. *How does your work align with the theme “Pathways to Inclusive Leadership”?
5. *Have you spoken at similar summits or events before?
   ☐ Yes  ☐ No
   If yes, please list up to 3 events or provide links:

🔹 SECTION 4: BIOGRAPHY & IMPACT

1. Short Bio (max 150 words)*:
   (This may be used on the event website and program.)
2. Key Achievements or Recognitions:
   (Awards, publications, leadership roles, etc.)
3. Please share one personal story, experience, or insight that reflects your inclusive leadership journey (optional):

🔹 SECTION 5: TECHNICAL & LOGISTICAL DETAILS

1. Accessibility or Special Requirements (if any):
2. *Language Preference:
   ☐ English  ☐ Kiswahili  ☐ Other: ___________

🔹 SECTION 6: CONSENT & SUBMISSION

☑️ I consent to my information and photo being used for event communication, promotional, and archival purposes.
☑️ I confirm that all information provided is accurate to the best of my knowledge.

Signature (typed name)*: ___________________________
Date: ___________________________

📤 Submit Your Application
Deadline: [Insert Deadline]
Selected speakers will be contacted via email with next steps and briefing details.