Basic Information

First Name

Last Name

Phone *

Email *

City

State

Website

Speaker Overview

Are you a member of Speaker Speak LIVE?

Yes

Professional Title

Please list up to four notable credentials, achievements, or career highlights.

Short Speaker Bio (50 - 100 words)

Long Form Bio

Speaking Topics

In your own words, what topics do you speak on? List as many as you like.

Primary Keynote Title

Description of Your Primary Keynote

Supplementary Keynotes and Descriptions (Include up to 5)

Which audiences is your message the perfect fit for? (List up to 10)

Speaker Assets

If applicable, please provide links to the following:

Speaker Reel URL

Share a clip of you speaking that you are most proud of

Speaker One Sheet

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Media Kit

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Do you need help developing any of the above assets?

Yes

Not at this time

High Resolution Headshot #1

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Additional High-Resolution Photo (Upload an onstage or speaking photo if available. If you do not have one, a secondary headshot or another professional photo of you is completely fine.)

Click to upload

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Speaking Experience

References/Testimonials. Please share up to four testimonials you are most proud of. These may relate to your speaking, business, professional work, or the impact you have made through your work. Please include the person’s name, job title, and organisation where possible.

Media & Publications

Have you written or contributed to any books? Please provide the details below.

Have you appeared in any publications, podcasts, interviews, news features, or other media that you would like featured? List as many as you like, with each appearance entered separately.

Do you host a podcast? If yes, please provide the link below.

Final Agreement

I confirm the information provided in this application is accurate.

Yes

I understand that acceptance into the Speaker Speak LIVE Collective is subject to review.

Yes

I give Speaker Speak LIVE Collective and Cadence Speaker Collective permission to use, edit, and publish the information, images, testimonials, videos, and links I have provided for my speaker profile and related promotional purposes.

Yes

By checking this box, I consent to receive non-marketing text messages from Cadence Speaker Collective. Message frequency varies, message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

By checking this box, I consent to receive marketing and promotional messages including special offers, discounts, new product updates among others from Cadence Speaker Collective at the phone number provided. Frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.