STAGE RIGHT APPLICATIONFill in the form below and expect to get a response in 1-3 business days. Name First Name Last Name Email Address * What kind of experience do you have as a speaker? * What field(s) do you work in? * If you are currently speaking, what topics are you speaking about? If different from above, what topics would you like to be speaking about? What is the date of your speaking event, if applicable? MM DD YYYY What is the name of the event and URL, if you have it? http:// What is the length of your presentation, or what length presentation would you like to prepare? * What type of speaking event is it, or do you anticipate? Virtual In person Both virtual and in person What is the title and/or topic of your presentation, if applicable? Will you be displaying a slide deck? What’s your overall goal for this particular event, or for speaking in general? * Are you looking for coaching for yourself or a team? * If you answered 'team' please state the number of members. Do you usually write out a script and follow that when speaking? * Which of the following would you like to work on? (Check all that apply.) * Storytelling Slide Deck Design Delivery Brainstorming Audience analysis Call to Action Present research Prep for a Q&A Prep for Podcast Prep for Interview What challenges do you face as you consider creating a presentation? * You might want to ask yourself - What always feels hard for me when I have to present? When would you like to start working together? * MM DD YYYY Do you have a video of yourself speaking that you can send me a link to? This video is for diagnostic purposes only and will not be shared. http:// Do you have an example slide deck (in whole or part) that you can send me? Yes No Thank you!
