Scholarship Form Name First Last Email Phone NumberAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Are you a current member of the National Speakers Association? (NSA)What is your speaking area of interest?DEMOGRAPHICS FOR DEI statisticsApproximate age range 20-30 years 31-40 years 41-50 years 51-60 years 61+ years Ethnicity/cultural backgroundDescribe any specific learning needsWhat pronouns do you identify with? SESSION -- WHICH SESSION? FALL -- August start date to graduate in JuneSPRING -- February start date to graduate following JanuaryADDITIONAL INFORMATIONA. I have completed the online NSACF Speakers Academy application (Yes or No) If no, then please complete the application using the link below: https://nsacentralflorida.com/speakers-academy/application-form/ Yes No B. I have met the qualifications required and have spoken to the Academy Dean to be accepted into the Academy. Yes No Appointment scheduled C. If I am not selected for the scholarship, I will still consider joining the Academy. There is a payment plan consisting of 3 payments made during the first three months of the Academy and can be paid by credit card or check through the online NSACF store. Link to the store is: https://nsacentralflorida.com/store/Speakers-Academy-c9628078 Yes No D. I agree to attend the morning NSACF Chapter meetings as well as the afternoon Academy meetings to be fully immersed in learning about the Speaking profession if I am chosen. Yes No E. I commit to fully participate with a mentor, an accountability partner, and a Master Mind group. Yes No F. I agree to complete the “homework” assignments by reading the curriculum module(s) each month along with completing additional required assignments such as a “positioning statement” and a “one-sheet”. Yes No G. I agree to consider attending the National Speakers Association (NSA) annual conference “INFLUENCE” during my Academy year or after I graduate. Yes No H. I agree to serve actively on an NSACF Chapter committee (Membership, Diversity, Equity, and Inclusion DEI, Program, Marketing, etc.) or taskforce. Yes No I. I understand I am not required to be chapter member nor an NSA member to apply for the scholarship. Yes No J. I understand there is only ONE scholarship for Fall and ONE for Spring sessions. I may apply a total of 3 times after which if not chosen, I will decide whether to pay for the Academy myself or just attend chapter meetings. Yes No K. I understand I am required to write a 300–500-word essay as a requirement for the scholarship application. Yes No WRITING COMPONENT: To be considered for the Fall or Spring scholarship offered now, applicants are asked to write an essay consisting of 300 – 500 words explaining why you have a passion for the speaking profession, the need for the scholarship (financial proof not required), and how you will use what you learn to make a difference in your population of interest. Write it here: (NOTE: We get it—ChatGPT makes this process easy for you. But we want to hear from you, not a robot.)I am committed to learning and growing my business, attending all sessions (only 2 absences allowed to graduate but recording offered), and will remain in good standing with the NSACF chapter and the Speakers Academy. Yes No Typing your name below demonstrates your commitment to completing the responsibilities of receiving the scholarship and the Speakers Academy.QUESTIONS? Contact our CO-DEANS of the Speakers Academy at sandy@thewowplace.com or joyce@wietreckiconsulting.com
