Online Application Form

Online Application form

You have

Days

Hours

Minutes

Seconds

to apply

Online Application form

This is an application to become a Member of the Speakers Impact Network.

Hey, superstar! I’m so proud of you for taking action and applying for membership in my private professional network.

Here’s what’s going to happen! After you fill in this application, you’ll get an email from me in around 2 days (or sooner) letting you know if your application has been successful. Please answer honestly. I am looking for a wide mix of different people and different personalities. (No Boring Normans!)

IMPORTANT!

You’ll receive an official email in 2 days or less to inform you of my decision. Make sure you check your inbox!

The email will then contain instructions telling you exactly what you need to do to claim your place.

PLEASE DON’T WAIT. Places are limited

Your name:

Mobile / Cell phone number: (Please include your country code)

Your Email Address:

Do you have a personal website / Instagram / Facebook / Linked in or Youtube? etc. (Please place any links that will help me learn more about you.)

Tell me about you, and your experience with public speaking: Tell me in as much detail as possible everything that I need to know. You could tell me about your personal and professional life, your strengths and weaknesses, or why public speaking and presenting is important in your life.

Is it typically hard or easy for you to bond with other people and feel accepted in an online community?

How would you describe your nerves / confidence levels when speaking?

If you were to think about your motivation behind what you do... the true reason WHY... What would it be?

What does success look like to you?

Do you have any ambitions for your speaking? Eg to make a certain income, to reach a certain number of people, to reach a certain goal?

What is your biggest, most urgent or difficult problem that you need help with right away?

What are your expectations from Adam and the Speakers Impact Network?

What are you most excited about?
Please rate from 1 - Least Excited to 5- Very excited about the features of the Speakers Impact Network.

Joining a professional network community.

Bonus content from guest experts.

2 group video coaching calls each month.

6 levels of progression with video-lessons.

Quick tips, tricks and fixes.

Working at my own pace.

Being in a group with others who are deeply committed to improving.

Growing in confidence and beating nerves.

Making money, sales, increasing profits, winning deals, pitches etc.

Making an impact and inspiring people with my ideas.

How much time would you like to dedicate to improving your skills? Check ALL that apply to you.

I can only manage the minimum 4 hours a month. I can spend between 4 to 8 hours per month. I can spend more than 8 hours per month if I need to. I am happy to spend the next 6 months working on my skills. I see this as life-long learning, and want to continue to develop for as long as possible.

If accepted, are you ready to join the Speakers Impact Network at the special discounted rate of $125 USD per month including taxes? *That's about €105 / £90 / 780dkk per month including taxes.

Yes, sounds good. No, not right now.

Do you have any other comments, questions, or is there anything else I should know?