Speakers Program bonus application 2021 - Celebrate Your Life Events

Celebrate Your Life
Speakers Training

Bonus Application

Please complete the application below thoroughly.

Name*
First Last
Email*
Phone*
Books you have written (if applicable)
If applicable, list the last 3 events you have presented at along with the location, the name of the producer or production company, the price of the tickets to enter your workshop, the number of attendees:
Do you have an email list?*
- Yes
- No
How many subscribers do you have on your email list?
Social Media
List the number of followers you have on each social media outlet. If none, put N/A
Facebook
Instagram
Linked In
Twitter
Pinterest
Others (please list with number of followers)
Do you have a website? What is the URL?
If you have received any media exposure or publicity for your work, please list the media outlets and the interviewers name along with the dates and the city in which it is located: ie: radio shows, newspapers, magazines, tv shows, etc.
In 300 words or less, please list your Bio:*
In 300 words or less, please list your proposed workshop title and description that you would present at a Celebrate Your Life event:
Upload Photo*
Accepted file types: jpg, png, pdf, jpeg, Max. file size: 10 MB.
File upload cannot be larger than 10mb.
Video URL*

Please upload your completed video to either a YouTube page or Vimeo page and place the url in the field above.

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