Speaker Application All Applications are considered confidential between the applicant and BettsWorks staff. Consent* I Have Read "What Makes a Good Match"Please read What Makes a Great Match Before Applying. Thank you.Name* First Last Business Phone*Website Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country EducationReal Estate Designations & Certifications* Please list your current designations and certifications (acronyms are fine).Education/Degree*High SchoolAssociate's degreeBachelor's degreeMaster's degreeDoctorateOtherPlease select the highest level of education you've completed.LicenseYes, I'm active in the market.Yes, I have a license but am not active.No, I don't have a real estate license.No, but I've had a real estate license in the past.OtherAre you an active real estate licensee?Other Have you earned the DREI?YesNoNo, but working on it now.Have you earned the CSP from the National Speakers Association?YesNoNo, but working on it now.Additional TrainingPlease name any additional training we should know about. For example, "Attended Bob Pike's instructional design workshop" or "Coached by Karel Murray for 6 months."Resume*Max. file size: 300 MB.Please upload your most recent resume.Biography (300 words or less)*Max. file size: 300 MB.Please upload your biography.Presentation Experience and PromotionBureau Status* Are you now or have you ever been represented by an agency or speakers' bureau? Please provide names and start/stop dates if applicable. Past Clients*Max. file size: 300 MB.Please provide a list of clients who have paid you to speak (Company name, Contact name, approximate date; email and/or phone are appreciated but not required).Cumulative Platform Time*151-200201-300301-400400-500500+Select the approximate total number of hours you have spent on the platform/presenting in the last 10 years. One Sheet and/or Unbranded Press Kit*Max. file size: 300 MB.Please upload your most recent one sheet and/or your most current unbranded Press Kit.One Sheet and/or Unbranded Press KitMax. file size: 300 MB.Please upload your most recent one sheet and/or your most current unbranded Press Kit.List of Sessions with Descriptions*Max. file size: 300 MB.Please upload a list of - or a link to - the session titles (with descriptions) that you currently present.Website A Sample Outline*Max. file size: 300 MB.Please provide one of your session outlines (preferably timed with objectives). Testimonials*Max. file size: 100 MB.Please upload a cumulative list of testimonials regarding you/your presentations.Headshot Photo Drop files here or Select files Max. file size: 100 MB. Please provide your primary headshot/promotional photo. Additional Photos Drop files here or Select files Max. file size: 100 MB. Please provide additional professional photos. Your Primary Promotional Video* Please provide a link to a video featuring you presenting in person to a group. A minimum of 2 minutes is suggested. More Video 1 Please provide a link to any other video or playlist you'd like us to see. More Video 2 Please provide a link to any other video or playlist you'd like us to see. About You & Your PresentationsYour Content Personal/Professional Development Finance & Valuation Legal/Tax/Regulatory Management Designations/Certifications Technologies Commercial / Property Management Keynote Please select those categories that best represent the content you currently present. Your Fee Schedule* Provide your fee schedule including how you calculate fee: ie, keynote/half day/full day; plus expenses/all inclusive; special caveats/charges, etc. Did Anyone Recommend You? Please list anyone who has recommended you contact us.References* Please provide contact information for no fewer than 3 references for your presentation skills. GoalsWhat are your goals as a national speaker?What Else Should We Know?Here's your chance to go free form; tell us more about what we should know about you! Katapult MarketingSpeaker Application05.14.2020