Speakers Impact Academy Application

1
Name* This field is required.
First Name
Last Name
2
Business Name* This field is required.
3
E-mail* This field is required.
example@example.com
4
Phone Number* This field is required.
5
Website & Social Links* This field is required.
6
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
7
What is your experience as a speaker?* This field is required.
Beginner: I’ve never spoken publicly before.
Intermediate: I’ve spoken a few times but lack a structured system for selling.
Advanced: I’m an experienced speaker but want to refine my ability to sell from the stage and increase conversions.
8
What is your primary goal as a speaker?* This field is required.
(e.g., generate revenue from selling, grow your business, build an audience, etc.)
9
What products, services, or programs do you currently sell (or want to sell) from the stage?* This field is required.
10
Have you ever sold from the stage before?* This field is required.
Yes, with great success!
Yes, but I struggle to connect or close effectively.
Yes, but I struggle to connect or close effectively.
11
What is your "why" for wanting to master selling from the stage?* This field is required.
(What drives you to combine speaking with selling?)
12
What challenges have you faced when it comes to selling during a presentation or talk?* This field is required.
(e.g., discomfort with selling, crafting a clear offer, handling objections, etc.)
13
On a scale of 1–10, how confident are you in making an irresistible offer during your talks?* This field is required.
(If applicable, what do you feel is holding you back?)
14
How do you currently connect with your audience to inspire them to say “HELL YES” to your offer?* This field is required.
15
Are you open to feedback and willing to implement changes to improve your ability to sell from the stage?* This field is required.
(Why or why not?)
16
Are you open to using tools like Human Design and other Spiritual Tools to enhance your speaking success?* This field is required.
Yes
No
17
Describe what success looks like for you as a speaker who sells from the stage over the next 12 months.* This field is required.
18
How much time are you currently dedicating to improving your speaking and selling skills?* This field is required.
(What could change in your schedule to prioritize growth?)
19
Are you prepared to invest time, energy, and resources into mastering the art of selling from the stage?* This field is required.
(If yes, explain how you’re ready to commit.)
20
What systems or tools (if any) do you currently use to create and track your sales from speaking engagements?* This field is required.
21
How do you want your audience to feel after hearing you speak and experiencing your offer?* This field is required.
22
What makes your message, story, or offer unique?* This field is required.(Why do you believe your voice is needed in your field?)
23
How do you currently measure the success of your talks?* This field is required.(e.g., sales conversions, audience feedback, leads generated, etc.)
24
Do you have a signature talk designed to lead into an offer?* This field is required.(If yes, briefly describe it. If no, explain what you’d like to create.)
25
What speaking engagements (paid or unpaid) have you done in the past 6 months?* This field is required.(List a few key details like the event name, audience size, and purpose.)
26
What’s your current process for getting opportunities to speak and sell?* This field is required.(Do you pitch yourself, rely on referrals, or use another approach?)
27
What is your current offer or call-to-action when you sell from the stage?* This field is required.(If applicable, briefly describe its structure and results.)
28
Why do you believe you’re ready to join the Speakers Impact Academy and master selling from the stage?* This field is required.
29
Is there anything else you’d like us to know about you, your offer, or your speaking journey?* This field is required.
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