Grant Application Form
Name
Email
Tel.
City & Country
Website or Main Social Media Link
What best describes you?
Business Coach
Life / Mindset Coach
Leadership / Executive Coach
Business Consultant
Marketing / Brand Consultant
Trainer / Facilitator
Other
Business / Brand Name
How long have you been in business?
Less than 1 year
1–3 years
3–5 years
5–10 years
10+ years
Describe your niche and who you serve.
How comfortable are you with public speaking?
Very uncomfortable
Somewhat uncomfortable
Neutral
Somewhat confident
Very confident
Where do you currently speak or present?
Webinars
Live workshops / trainings
Conferences / events
Social media live stream
I don’t speak publicly yet
Podcasts / interviews
What is your biggest speaking or presentation challenge right now?
What speaking or presentation outcome would you like to achieve in the next 6–12 months?
How would stronger speaking and communication skills impact your business?
Are you willing to post a video in the Speakers Momentum Facebook Group to qualify? (Instructions will be provide after this form has been submitted).
Yes
No
Are you able to commit to coaching sessions over the next 3–6 months?
Yes
No
Maybe
Confirm the following:
I understand I may be asked to provide a testimonial if selected.
I confirm all information provided is accurate.
I agree that Speaker’s Momentum may contact me regarding this application.
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