First name
Last name
Please list the date and time of your talk, or TBD.
Who is hosting your talk (company/event)?
Email
What is the purpose of your talk? What is the directive or what are the questions you have been given by the host? *
Why were you chosen as a speaker? *
What is your perceived status to this audience? Are you an expert to them? What expertise do you bring? *
If you’re speaking at a conference, on a podcast, a TV show, or other known entity, what is their theme for the event or tag line?
What is the title of your talk? If you don't know yet, type TBD or list some ideas here. *
Where is the location of the speaking engagement? If you have more than one location, you have more than one engagement. Complete a new form for each. *
Office Conference room Classroom Private room at a restaurant Hotel conference room, speaker and audience on same level Hotel conference hall, speaker on a temporary stage Convention center, speaker and audience on same level Convention conference hall, speaker on a temporary stage Stage, permanent with fixed audience seating Outdoors at ground level Outdoors with a temporary stage On video, my own location On video, studio On audio or podcast, my own location On audio or podcast, studio Other TBD
What attire will you wear for your talk? Is it the same or different than what your audience will be wearing? Why? Consider your shoes and how they make you stand *
Select all tools, devices, and staff that will be available to you.
Podium
Desk/table
Chair
No-back stool
High-back stool
Carpet
Water to drink
Projector, rear projection (does not catch your shadow when you walk in front)
Projector, front projection (catches your shadow when you walk in front)
Clicker, for slides
Comfort/Presentation monitor
Teleprompter
Microphone, attached to podium
Microphone, handheld
Microphone, boom (overhead)
Microphone, lavalier or body mic (attached to you)
Microphone, external desk/podcast mic
Microphone, standard computer mic
Microphone, connected to Bluetooth headphones (like airpods)
Microphone, connected to plug-in headphones
Microphone, in the audience for their questions & comments
Lighting, room lights
Lighting, ring light
Lighting, general stage lights
Lighting, spotlight
Camera, professional
Camera, external
Camera, computer camera
Camera, phone or iPad camera
Ear prompter, 1-way (not typical for most presenters)
Ear prompter, 2-way (not typical for most presenters)
Green room, backstage or other space to prepare
Tech staff, TBD
Tech staff, lighting
Tech staff, projections
Tech staff, sound
Tech staff, stage
Moderator/narrator
ASL interpreter
Language translator
TBD
Are there any pain points for this audience? Is there backstory you should consider when presenting?
What does the audience want from you?
What do you want the audience to do when they leave? Is there a specific call to action?
What is the conflict between what they want and what you want them to do? What’s the obstacle to getting them to do what you want?
Which methods do you feel comfortable using to speak to this specific audience on your topic?
What concerns you the most about preparing for your presentation?
Is there anything else you want us to know?
Do you have a website? If so please list the URL below:
Please provide your phone number for us to contact you by text*
Submit
