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NSA-IL Speakers Academy Application-Chicago

Contact Information
Name (required)
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Phone 2
Phone 3
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Company
Email (required)
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1. My interest in NSA-IL Speakers Academy is:

I want to apply. I am VERY enthused and would like to apply to the program. I understand that the program costs $795. I have read and I understand the Speakers Academy program information. I agree that, once accepted, the program tuition is non-refundable. 
I’m considering it.

I am enthused about the program, and I need to consider the following items before making my final decision.

2. What are your areas of speaking expertise?

3. Are you a member of NSA?

I’m a current member of NSA. 
I’m a salaried employee.  
I’m not a salaried employee.

4. Are you speaking professionally?

Full-Time  

Part-Time  

Occasionally  

Have never presentedComments

 

5. What is your past speaking experience?

Member of Toastmasters, Speaking Circles, etc. 
Attended other presentation skills programs:

Spoken at Rotary, Lions, Soroptimist, other organizations (describe)

How many times in the last two years?



6. What types of speaking programs do you intend to present?

Keynote  Seminars  Training  I don’t know yet 
Other:

7. On which topics do you speak?


8. Please share details from any book(s) published.

 

9. Which of the following do you have or produce? (check all applicable boxes)

Articles published on a regular basis  Newsletter  Demo video  One-sheet 
Other:

10. I can commit to the following, barring unforeseen events:

Attend all six semi-monthly meetings of Speakers Academy  
Do all homework assignments  
Attend all three NSA-IL Fabulous Friday luncheons  
Apply for membership of NSA when I meet the qualifications

11. Do you have any disability needs requiring special consideration?

12. Is there anything else you would like to share about yourself? Edit

13. Please answer the CAPTCHA

Please double-check all of your information above. Once you submit your application successfully, you will be taken to the registration payment center.

 

Please contact Christy Moore at (847) 991-0772 or Christy.Moore@nsa-il.org for more information.