Apply To Become A Stellar Speaker Please complete the form below to have your application reviewed by an agent. Personal DetailsName* First Last Brand / Company Name*Tag Line / Slogan*Email* Website(s)*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 MobileOfficeHomeAre you currently represented by any other agents for speaking, personality management, PR? If yes, please provide their details:What category / subject topic do you speak on?What are your main keynote categories* Adversity, Diversity & Inclusion Business & Strategy Communication, Marketing & Negotiation Culture, Society & Demographics Customer Service & Sales Economics, Current Affairs & Finance Environment & Sustainability HR & Talent Management Innovation & Creativity Leadership, Collaboration & Team Mindset & Performance Psychology, Wellbeing & SpiritualityPlease provide details of your keynote presentations:Tell us the key message you deliver from the stage.Please provide details of your Workshops / Seminars / Masterminds (include title, description, length & target audience)What speaking fee do you charge for your various presentations & workshops?What is your keynote fee band?* £500 - £1,000 £1,000 - £5,000 £5,000 - £10,000 £10,000+Who have been your clients over the last 2 years?Please give between 3 and 5 testimonials from your audiences, event organisers or hosts.How many times have you spoken to groups in the last two years?Tell us the average size of your audiences.Goals & VisionWhat is your personal mission / purpose?What are your values?What are the potential barriers to your success?Speaker ProfilePlease provide us with a full bio and include your qualifications / experience in the topic(s) you specialise in.Please supply us with your current profile picture & any other pictures that you use in promotion. (Upload them here) Drop files here or Select filesMax. file size: 256 MB. What are the 3 most important outcomes that an audience can expect as a result of attending your presentation / workshop / seminar.Please provide us a link to your speaker showreel or footage of you speakingHow many speaking gigs do you want per month/year?*Have you had any professional speaker training?* Yes NoWho with?Products / ServicesPlease list all products that are currently available in price order (including coaching, retreats, workshops, books)In no more than 25 words define your audience (target market).What is your USP (unique selling point)?Who is your main competition & why are you different?What PR coverage have you had? (magazine/newspaper editorials, radio/tv interviews etc.)Do you have a current database? Yes NoHow many people are on this database?Are they accumulated contacts or have they opted in to join this database online?How do you currently communicate with your database?Please provide us with your social media linksWhy do you think Stellar would be a good match to support you as a speaker?Where did you hear about us?GDPR Accepted On* I agree with storage and handling of my data by this website.NameThis field is for validation purposes and should be left unchanged.Δ
