UNMUTE Your TEDx™ Coaching Application
Welcome! Please complete this application to be considered for the UNMUTE Your TEDx™ coaching program. Your answers help us learn about your message, your mission, and your readiness for this journey. ➤ Estimated time: 5–7 minutes ➤ Confidential & reviewed personally by Dr. Rita Renee
SECTION 1: Personal Information
Name
*
First Name
Last Name
Business Name if applicable
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Website or Social Media Links*
*
Please share at least one active profile.
Provide a short bio.
*
0/250
SECTION 2: Your TEDx Voice & Message
What message do you feel called to share?*
*
0/100
Why is the TEDx platform the right place for this message?*
*
0/100
Briefly describe the lived experience or expertise behind your idea.*
*
0/100
What transformation do you want your audience to walk away with?*
*
0/100
Working TEDx talk title (if you have one)
(Write “I need help refining this” if unsure.)
SECTION 3: Speaking & Influence
Have you spoken publicly before?*
Please Select
Yes, frequently
Yes, occasionally
Not yet, but ready to grow
What audiences do you currently reach? (check all that apply)
Corporate / Professional
Faith-based / Ministry
Women’s Leadership
Youth / Students
Entrepreneurship / Business
Community / Social Impact
Academic / Research
Other: _______
How would you describe your speaking tone? (select up to 2)
Inspirational
Educational
Motivational
Story driven
Analytical / Research-based
SECTION 4: Readiness
Where are you in your TEDx journey?*
I have a message; I need help structuring it
I have an idea
I need clarity
I’m ready to apply but need guidance
I’ve applied before and want a stronger approach
I’ve been selected and need coaching to prepare
When are you hoping to speak?*
3–6 months
6–12 months
Open-No set time
Are you ready to commit time and effort to practice and refinement?*
Yes, fully committed
Yes, I need accountability
I'm still exploring options
SECTION 5: Investment Readiness
This is a high-touch coaching program ($2,500(3to6mons)–$4,500(6to12mons). If accepted, how do you plan to proceed?*
Ready to enroll now
Ready within 30 days
Interested but need details first
Exploring (not ready to invest yet)
SECTION 6: Final Thoughts
Is there anything else you'd like us to know?
*
0/200
How did you hear about this program?*
Social Media
Referral
Website / Search
Event / Interview
Other: _______
Agreement Checkbox (required) I understand this application does not guarantee acceptance and this program does not guarantee TEDx stage selection. TED and TEDx organizers make all speaker decisions independently.
*
I agree and wish to be considered
Signature
*
Thank you!
✅ Thank you for applying to the UNMUTE Your TEDx™ Coaching Program! Your voice matters — and this may be the beginning of a defining chapter in your journey. We will review your application and respond within 3-5 business days with next steps .If aligned, you will receive a link to schedule your TEDx Clarity & Fit Call with Dr. Rita Renee. Get ready — your message may be one step away from the red circle.
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