So, you want to be a public speaker? That's Awesome!

Congratulations! You are already on your way to being on the circuit. We're not going to lie. It's hard work and it takes time, but once you've got a rhythm and a feel for the business, it's really great.

This form looks really long, but don't be intimidated. We have to ask many questions in order to get your marketing started, so please fill in as many blanks as you can. As for the blanks you have trouble with, give it a shot in the dark. Any try is better than nothing, but think about it and email us the answer later.

If you would like to download these requirements and think about them then email us a document later, here is a PDF that can help:

Chapelure Media Speaker Survey

If you would like to see an example of the product we produce using this information, check out this PDF:

Keith A. Somers Press Kit

We hope this is helpful. If you have any questions, email us at:

Name *
Do you have recent professional headshots?
Think about your resume and how you would like to be introduced on stage.
Ask yourself: what is the single thing you have to offer your audience?
Please give us information about the 4-6 keynote speeches you offer
Speech 1
Speech 2
Speech 3
Speech 4
Speech 5
Speech 6
In your opinion, is your speech polished and ready for a large audience (1500+)?
Polished speeches: • Solve a problem • Tell a story • Have some one-liners that are tweetable/quotable • Have some laugh lines • Can be delivered without slides • Have a clear, mic-drop ending • Ready for Q+A.
Date, organization, audience type, number in attendance
Do you have or can you obtain client testimonials?
Free is a legitimate answer. We have a formula to work through this.