Speaker Opportunity Alert Form

Black Speakers Network (BSN) Speaker Opportunity Alert Form

Thanks so much for reaching out to Black Speakers Network and trusting us with your event! We seek to strategically partner with event hosts & meeting planners from Corporations, conferences, Expos, Associations, and Education Institutions as well as independently organized events. No event is too big or too small.

Please fill out the information below to the best of your ability so we can start working on your request.

Once complete, based on the need we will communicate to our network of speakers who would be best suited to speak. Please let me know if you have any questions. Contact hello@BlackSpeakersNetwork.com if you have questions. This form should take approximately 4 to 7 minutes to complete.

Host Information

This should be the primary point of contact for the event - if you are completing this form on behalf of someone else in your organization, please put their contact information below. If you are the primary point of contact, feel free to put your contact information.

Event Host First / Last name

If you have a title such as Dr. please include in the first name field

Phone

This phone number will not be shared with Membership. This is only used if we need to reach out to you directly.

Host Contact Email

This email address will be shared and used by members to contact for any questions

Your Professional Title [or your position specific to this event]

Event Information

Help us learn more about your event

Event Name

Event Theme or Subtitle

Optional

Hosting Organization Name

This is the name of the company or host of this event

Event Start Date

What date does your event begin?

YYYY

Event End Date

What date does your event end? If single date event, please use same date as above

YYYY

Approximately, how many people are you expecting to attend?

Expected Audience: In a few words, how would you best describe the demographics of your audience expected to attend

This can include gender, professional expertise, industry or any details you feel are relevatnt

Please select

Event Location

Leave Blank If Virtual

Include a brief description of the Event

Less than 150 words

Please upload the flyer or graphic for this event

Optional

Delete all uploads

Choose files or drag here

Speaker Information

Please provide as much detail as possible to allow our team to find the best possible speaker recommendations to meet your event goals.

Deadline for Speakers To Apply

This is the absolute LAST Day that proposals will be considered

YYYY

How Many Speakers Are Needed?

Write in the number of speakers needed

Date of Requested Presentation

YYYY

What Type of Speaker(s) Are You Seeking For This Event?

Select Alll That Apply

Keynote Presenter

Host / Emcee

Panelist

Break Out Session / Workshop

Can you share any insights around what qualities you are looking for in a speaker related to your event goals?

We will share this information with our speakers to help better prepare for this opportunity.

Speaker Application LINK (URL) This is the link for speakers to apply for this opportunity

If you do not have a link, please write N/A

Please select

What Information is needed before speakers will be considered for this opportunity (Select All That Apply)

Professional Bio

Professional Headshot

Topic Proposal (Summary of Proposed Program)

Speaker Video Sample

Speaker Press Kit / One Sheet

Speaker Compensation & Beneifts

We recognize that there are many different kinds of event models. BSN believes in financial transparency and consistency when sharing speaking opportunities with our network of talented speakers. This information provides speakers with the important details needed to determine if your event aligns with their goals, financial and strategic objectives. BSN will share all events equally regardless of the budget or model. Please share as much information as possible in this section.

Please select

What is the budget per speaker for this opportunity?

If this does not apply to your event type put $0.00

USD

What is the investment/sponsorship required for this speaking opportunity?

If this does not apply to your event type put $0.00

USD

All "Pay to Speak" and/or Sponsorship Based speaker opportunities, are subject to our standard affiliate fee. This fee is based on the number of speakers needed for the event. Do you agree to pay this promotion fee?

Yes

All "Pay to Speak" and/or Sponsorship Based speaker opportunities, are subject to our standard promotion fee. Do you agree to pay this promotion fee?

Please select based on the number of speakers you need for the event. You will receive an invoice from BSN within 24-48 hours of completion of this form.

Select allClear choices

1-5 Speakers ($500)

6-15 Speakers ($750)

16-25 Speakers ($1250)

26-50 Speakers ($2500)

This fee is due via a one-time payment upon completing this form. Do you agree?

Please select based on the number of speakers you need for the event. You will receive an invoice from BSN within 24-48 hours of completion of this form.

Yes

Do you agree that your organization will take full responsibility for tracking all BSN members who apply and are accepted for this opportunity, informing Black Speakers Network of such details, and providing a comprehensive list of all selected speakers, distinguishing those from BSN along with their payments?

Yes

Our team reserves the right to double-check this list to ensure the accuracy of members and affiliate payment calculation. Any active BSN members who pay to speak at this event after we promote it to our members regardless of additional lead sources will still be subject to the 20% affiliate commission fee. Do you agree?

Yes

Failure to submit timely or accurate payments will disqualify your organization from sending any additional requests for speakers in the future. Do you understand and agree?

Yes

Please select

Please share any additional non-financial benefits offered to speakers for this paid opportunity:

Select All That Apply - optional

Complimentary Full Event Passes / Tickets

Event Photos of Speaking Engagement

Event Video of Speaking Engagement

Publicity Recognition (Print, Radio, TV, Press Release)

Speaker Feedback

Recognition or Award

Please state any additional benefits offered to speakers not listed above.

optional

Is the speaker permitted to sell products or services from the stage at this event?

Yes

Will the speaker be able to sell products "from the back of the room," i.e. have a vendor table?

Yes

Will this event be recorded?

Yes

Event Partnership & Promotion

BSN seeks to use our network and resources to help you reach your event goals beyond just providing speakers. Please share below how we can provide additional support to your event.

Would you like BSN to add your event to our BSN Event Calendar and /or share it with our community?

Note: This should only be done for events that are open to the general public

Yes

Would you like to be a virtual speaker at one of our upcoming BSN Power Talk Events to share more about this or any other upcoming opportunities you have for speakers?

BSN Event Power Match is a virtual monthly networking event designed to empower and connect BSN Members with event meeting planners, conference organizers, and association representatives. It is held live via zoom every 3rd Thursday of the month.

Yes - I would like to be scheduled to speak

No - I don't want to speak

Do you agree to inform Black Speakers Network of any speakers selected from our network?

We would love to track and celebrate the success of our members selected to speak at your event.

Yes

What additional roles are you looking for at this event?

Select All That Apply - Optional

Event Team Volunteers

Virtual Team Members

Event Ambassadors

Referral

Is there anything else about this event that you would like us to know?

Optional

Please upload a picture of your business logo here.

Delete all uploads

Choose files or drag here