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 PhoneWebsite 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 FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country EducationReal Estate Designations & CertificationsPlease list your current designations and certifications (acronyms are fine).Education/DegreeAssociate's degreeBachelor's degreeMaster's degreeDoctorateOtherPlease select the highest level of education you've completed.OtherLicenseYes, I'm active in the market.Yes, I have a license but am not active.No, I don't have a real estate license.OtherAre you an active real estate licensee?OtherHave you earned the DREI?YesNoHave you earned the CSP from the National Speakers Association?YesNoAdditional 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*Please upload your most recent resume.Biography (300 words or less)Please upload your biography.Presentation Experience and PromotionPast ClientsPlease list clients who have paid you to speak (Company name, Contact name, approximate date).Cumulative Platform Time100-150151-200201-300301+Select the approximate total number of hours you have spent on the platform/presenting in the last 10 years. One Sheet/PromotionPlease upload your most recent one sheet, list of sessions, and/or other non video promotion you are currently using.List of Sessions with Descriptions*Please upload a list of the session titles (with descriptions) that you currently present.A Sample OutlinePlease provide a timed outline with objectives from one of your sessions. TestimonialsPlease upload a cumulative list of testimonials regarding you/your presentations.Photos Drop files here or Please provide 1-3 professional photos. Your Promotional VideoPlease provide a link to a promotional video about you or the features you presenting.Other VideoPlease 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 Keynote Please select those categories that best represent the content you currently present. Average Daily FeeWhat is your average full day fee for speaking (not including expenses)?Did Anyone Recommend You?Please list anyone who has recommended you contact us.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
