speaker request form

* Indicates required field

Name *

Email *

Phone Number *

Company / Organization *

Theme of Event *

Event Date *

Estimated Audience *

Investment Capacity *

How Did Your Hear About Ben *

Event Details *

Ben's keynotes are tailored to serve clients at every size and budget. The fees are based on length of presentation, organization status and event location. Please answer as accurately as possible so our team can find the best option for your group. If your investment capacity does not meet the threshold your presentation length, organization status, or keynote location requires, please select the scholarship option and complete the scholarship application at the bottom of the page.

Ben understands that every organization’s budget varies, and for some, his keynote speaking fee would provide a hardship. In an effort to serve as many groups as possible, he provides some free and discounted keynotes based on his schedule availability and clients' financial need and community impact.

All groups seeking to host Ben at a free or discounted rate must complete this scholarship application at least 30 days prior to their event date.

Scholarship applications are reviewed on a weekly basis. If your event date is flexible, your application will be held for one year.
Due to the volume of applications received, we cannot personally respond to all inquiries.

Scholarship Application

Tell us about your group / organization? *

How will Ben add value to your event *

There are a limited amount of scholarships available. Why is your group the best candidate to receive one? *

What else would you like to be taken in to consideration as we assess our scholarship applicants? *

Submit

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Scholarship Application

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