Speaking Application
Fill out the form as much as possible to be considered for the speaking panelist position
Full Name:
*
First Name
Last Name
E-mail:
*
Phone Number:
*
-
Area Code
Phone Number
Where are you from (country/state)?
*
What country(s)/state(s) have you spoken in?
*
Have you attended a Next Gen Coaching event?
*
Yes
No
Your Title:
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Describe what type of business you are currently in?
*
Website:
*
Social Media Links:
*
In detail how would you explain your speaking/coaching experience?
*
Can you attend the entire duration of the event May 5th-8th?
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Yes
No
Will you promote the event to your lists and followers on social media?
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Yes
No
How many people do you think you would register for this event if we gave you a personal commission code as a referral commission?
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0-5
5-10
11-20
21-40
40+
Do you have a physical product you sell?
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Yes
No
Other
Are you interested in a booth at this event?
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Yes
No
How did you hear about Next Gen Events?
*
What makes you a great fit for this event?
*
Thank You For Your Submission!
We will reach out to you shortly!
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