Call for Virtual Speakers
This form is to be completed by those desiring to be a speaker on "Genius Conversations with Asa Leveaux" which takes place virtually on Sunday evenings at 8:00 pm CST
Email address *
Name *
First and last name
Your answer
Email *
Your answer
What are your various social media links?
Your answer
Phone number *
Your answer
What is your area of expertise in? *
Required
What about your experience makes you an expert in your field? *
Your answer
Do you agree to posting to your community (i.e. social media, email list, etc) in regards to your appearance on "Genius Conversations with Asa Leveaux" the week prior to your segment? *
Required
What will be the result for those in attendance listening to your training? *
Your answer
Do you have a product or program to offer that is aligned with your area of expertise? *
Required
Do you have an affiliate program associated with your product or program? *
Required
What is the breakdown of your affiliate program to include the link to sign up? *
Your answer
Do you agree to providing a high quality professional image of yourself to genius@geniusacademy.co *
Required
Do you understand that you are granting permission to use the totality of the recorded session in perpetuity and with all rights? *
Required
Submit anything that would make this form more beneficial for you.
Your answer
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