4-Part Public Speaking Workshop© Intake Form
To ensure that this workshop is right for you and works with your schedule, we ask that all prospective members to complete the Intake Form.

Once we have a full cohort of 10 participants, you will be notified of the workshop schedule (time/dates) and will be invited to officially join the upcoming cohort by completing your payment.

If you have any questions about the 4-Part Public Speaking Workshop©, please contact us as hello@speakforsuccess.ca.

We look forward to training with you!
What is your first and last name? *
What is your email address? *
Which city do you live in? This is so we know your time zone. *
Please select the reason that best describes why you are interested in this workshop? *
On a scale of 1-10, what is your proficiency level? *
Beginner - I can hardly speak in a small group.
Expert - I've can easily deliver a presentation to over 500 people.
What is the best time of day for you to train? Please select all that apply. *
Is there anything else you would like to share with us?
How did you hear about us? *
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