JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
CC's Speaker Submission Form
Thank you for wanting to spread your message and enlighten other individuals.
THIS FORM IS STRICTLY FOR THE CREATIVE COLLAB TEAM AND THE EVENTS WE WILL BE HOSTING IN 2024.
We look forward to hearing from you.
Please note, only those of interest will be notified.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
First and last name
Your answer
Email
*
Your answer
Phone number
*
Your answer
Do you have a website?
*
Your answer
Where can we find you on social media?
*
Your answer
Business name? (Type your name if you don't have a biz name)
*
Your answer
Business industry?
*
Your answer
What type of entrepreneur are you?
*
Full-time
Part-time
Side hustler only
Aspiring
Select which ones apply to you.
*
I own a brick-and-mortar
I own an e-commerce business
I am a digital entrepreneur
I am an influencer / content creator
Other:
Required
What assistance do you need as a Speaker?
*
Mentorship/coaching
Financial support
Marketing/advertising
PR/branding
Lead generation/click funnels/etc
Sales/acquiring clients/customers
Building a service based biz
Building a product based biz
Goal achieving/goal setting/goal planning
Business plans/business model canvas
E-commerce biz
Wellbeing support; mindset, emotional wellbeing, spirituality, etc.
Other:
Required
In 3 words, tell us what you contribute to your community/audience.
*
Your answer
What is the main message that you share to audiences? (For example: helping people heal from grief, helping entrepreneurs build better businesses, etc.)
*
Your answer
How long have you been public speaking/hosting?
*
Less than 1 year
1-3 years
3-5 years
5-10 years
10 years +
New to the tribe
What kind of speaker are you? (Select ALL that apply)
*
Presentation/slides
Interview style/panels
Teacher/speech
Engager/Conversation starter
Entertainer
Seller/Promoter
Host
Other:
Required
Do you have anything we should cater to?
*
Wheelchair (regard in-person events)
Vision challenges
Hearing challenges
Severe food allergies (peanuts, etc.)
Severe body allergies (pets, scents, etc.)
Other:
Required
What would you like in exchange for your support and energy? (Not guaranteed)
*
Testimonial/review on your website, LinkedIn and/or Facebook page
Referral email/connection/letter
Compensation
Media; video clip, photography, etc.
Other:
Required
What are your speaking rate(s)?
*
Your answer
Thank you for filling out the form! A member of the CC team will reach out to you if you have been chosen.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This form was created inside of Creative Collab.
Report Abuse
Forms