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 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/DegreeAssociate's degreeBachelor's degreeMaster's degreeDoctorateOtherPlease select the highest level of education you've completed.Other 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.OtherAre you an active real estate licensee?Other Have 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*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 PromotionPast Clients*Max. file size: 300 MB.Please list clients who have paid you to speak (Company name, Contact name, approximate date).Cumulative Platform Time*100-150151-200201-300301+Select the approximate total number of hours you have spent on the platform/presenting in the last 10 years. One Sheet/PromotionMax. file size: 300 MB.Please upload your most recent one sheet, list of sessions, and/or other non video promotion you are currently using.List of Sessions with Descriptions*Max. file size: 300 MB.Please upload a list of the session titles (with descriptions) that you currently present.A Sample OutlineMax. file size: 300 MB.Please provide a timed outline with objectives from one of your sessions. Testimonials*Max. file size: 300 MB.Please upload a cumulative list of testimonials regarding you/your presentations.Photos Drop files here or Select files Max. file size: 300 MB. Please provide 1-3 professional photos. Your Promotional Video* Please provide a link to a video featuring you presenting in person to a group. Minimum of 2 minutes. Other Video 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 Keynote Please select those categories that best represent the content you currently present. Average Daily Fee What 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
