Travel & Speak on Stages Application Form

TRAVEL WITH CAMILITA AND SPEAK AROUND THE WORLD

APPLICATION FORM

We are delighted that you have enquired about travelling with Camilita as you build your brand, speaking career or profession. This opportunity is ONLY for people already speaking, coaching, mentoring, training or those who have a successful business and want to take their business to the next level.

Please complete this application so we can review your goals and see how we can assist you to achieve them or whether this opportunity is the best fit for you. Everything in this application will be kept strictly confidential, so please answer honestly and be sure to adequately describe yourself and your business.

We recommend that you complete and return your application as soon as possible. Once completed, we will reply within 48 hours. Submit your application below.

If you have any questions about this opportunity or the application process, please do not hesitate to contact us: Email: info@camilita.com or Phone Andrew: +44 7903 65 22 80

YOUR PERSONAL & CONTACT INFORMATION
Name:*
First Last
Phone:*
Age:
Marital Status:
Children:
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Enter Email Confirm Email
Skype name / ID:
Business name & type of business....*
Your current website (if any):
Links to your social media profiles/pages:
Facebook:
LinkedIn:
Twitter:
Instagram:
YouTube:
YOU & YOUR BUSINESS......
1. Tell us about yourself...*
2. Tell us about your business / career background (please tell us as much as you feel is important)...*
3a. Are you passionate and fulfilled in your current business or occupation?
- Yes
- No
3b. Please explain your answer...
4. What are the most important goals that you aim to achieve in the next 90 days and 12 months....
5. Why do you want to travel with Camilita and speak? (please explain clearly)*
6. What are the three biggest barriers that could prevent you from travelling with Camilita?
7. To travel with Camilita, you will be required to have the necessary travel and liability insurance in place, do you have such insurance? If yes, we would require a copy once your application is successful.
- Yes
- No
8. Before we can accept your application, we require at least 2 testimonials of your previous work, speaking or coaching. Please provide these below or provide links to the testimonials….
9. As part of the Travel with Camilita experience, you will be asked to cover your own airfare, hotel and travel expenses. Have you got the necessary funds to do so?
10. Here are some of our upcoming speaking opportunities, please select which ones you would be interested in:
- Global Champions Summit from £2,500
- Travel and Speak from £5,000
11. Please select your preferred payment method from the options below...
- Pay in full and SAVE! Upon being notified of your acceptance onto the Travel with Camilita and Speak on Stages Around the World, full payment will be required.
- Payment plan: 3 payments. Upon being notified of your acceptance onto the Travel with Camilita and Speak on Stages Around the World, we will work with you to create a payment plan. Please note when paying in 3 instalments a 10% admin fee will be applied for each event.
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TRAVEL WITH CAMILITA AND SPEAK AROUND THE WORLD

APPLICATION FORM

We recommend that you complete and return your application as soon as possible. Once completed, we will reply within 48 hours. Submit your application below.

If you have any questions about this opportunity or the application process, please do not hesitate to contact us: Email: info@camilita.com or Phone Andrew: +44 7903 65 22 80

YOUR PERSONAL & CONTACT INFORMATION

Links to your social media profiles/pages:

YOU & YOUR BUSINESS......

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