Speaker Application Form

Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

What are your pronouns?

What is your business name?

What is your website?

Can you drop your bio?

Please list up to the last 5 speaking engagements and where they were & when they were generally?

What do you think makes you an incredible speaker?

At EMERGE, we value authenticity, collaboration over competition, and creating space for honest, inclusive conversations. How do these values show up in your work or speaking style, and how would you hope to bring them into your session with us?

Do you have a video of you speaking? If so please link it below.

Do you have a speaker deck or speaker page? If so, can you please link it below.

Please list up to 5 of your speaker topics including title and description (can skip if it's on your speaker deck or page).

Have you heard about Emerge Event Collective? If so, what have you heard? Have you attended an event? If so, what did you think about it?

Are you an Emerge Event Collective Member?

What are your speaking fees in person (if any)? What about for an online event (if any)?

What is your home airport?

What expenses would you need covered above and beyond your speaking fee? (i.e. flights, accommodations, per diem, etc)

EMERGE Speaker Code of Ethics
Please read and sign below to confirm your agreement.

At Emerge, our mission is to cultivate safe, inspired, and ego-free spaces where authentic connection and growth can thrive. As a speaker, you are an integral part of that mission.

By participating, you agree to uphold the following values:

1. Lead with Integrity

Present authentic, original content and credit all sources appropriately.

Communicate with honesty, clarity, and respect.

Honor the time, energy, and investment of attendees.

Show up present and professional—fully engaged and free of impairing substances.

2. Create an Inclusive Space

Use inclusive language and examples that affirm all identities, including LGBTQ+, BIPOC, religious, and disabled professionals.

Avoid stereotypes, assumptions, or exclusionary language.

Treat every individual with dignity and respect, regardless of background or role.

3. Be Collaborative, Not Competitive

Embody Emerge’s values: connection over ego and collaboration over competition.

Refrain from overt self-promotion. Promotion is welcome when framed as part of the educational or relational value of your session (e.g., sharing a helpful freebie, opt-in, or tool).

You may send one follow-up email to attendees—please ensure they opt in to your mailing list.

Focus on contributing to the collective experience—not just personal brand visibility.

4. Be Engaged & Prepared

Arrive prepared and meet all deadlines for materials and communication.

Respond promptly and professionally to the Emerge team.

Support fellow speakers and leaders with generosity and encouragement.

5. Be Accountable

Receive feedback from attendees and the Emerge team with openness and humility.

If harm is caused, take responsibility and be willing to repair.

By signing below, you agree to uphold these values and help steward the Emerge mission with care and intention.

Please type your name below to acknowledge and agree to this Speaker Code of Ethics.

Signature

Anything else you want us to know?

Emerge Speaker Application