Become a Speaker

Apply to become a referred speaker through CCC. CCC will refer you to speaking gigs, bill for your services and collect and pay sales tax – and then cut you a check, with all of the paperwork done for you.

To apply to be a speaker with CCC, complete the form below.

Name: *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email: *

Phone: *

Website URL (if any):

In one word, describe yourself as a speaker: *

Comments:

Rank your presentation skill level: *

Comments:

Are you considered an expert/specialist on your topic or do you have general interest? *

Comments:

Fees: Indicate fees you charge for your time and talents. *

Provide two references, including professional and/or personal references.

Reference #1: Name *

Reference #1: Email *

Reference #1: Phone *

Reference #1: Relationship *

Reference #2: Name *

Reference #2: Email *

Reference #2: Phone *

Reference #2: Relationship *

Become a Speaker

Provide two references, including professional and/or personal references.

CCC CONSULTING TRAINING CATALOG