Please complete this application to be considered for the program starting February 3, 2025.

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* 1. Preferred name & pronouns:

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* 2. Please describe your experience as a speaker, both professionally and personally. Describe your current work and how speaking fits in. Please include your speaking topics/areas of expertise. No wrong answer, just trying to get a feel for where you are in your speaking so far.

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* 3. Tell me about your career and speaking goals.

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* 4. What have you struggled with as a speaker?

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* 5. Give me an idea of your speaking fees - have you ever been paid to speak? What is the most you've ever been paid for one event (and what was the event)? How much were your total speaking fees (total of all payments for speaking, not including travel costs you were reimbursed) last year or in the past 12 months? Was this typical for you or better or worse than usual?

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* 6. Any additional information or insights you believe make you a good candidate for this program or would be helpful for me to know when considering your application?

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* 7. Link to your speaking web page (or homepage):

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* 8. Preferred email address:

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* 9. Preferred phone number:

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* 10. Mailing address:

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