ISA Certification Submission Form

Certified Speaker (CS–ISA) Application

Please complete all required fields and provide accurate information. Incomplete applications may delay your certification review.

First Name *

Please use your full legal name. This will appear exactly on your ISA Certified Speaker certificate.

Last Name *

Phone

Email *

This will be used for all certification communication.

Address (Optional)

Required if you’d like a printed certificate or welcome pack posted to you.

SpeakerPro Training Date *

YYYY MM DD

Date of Completing SpeakerPro Exam *

YYYY MM DD

Trainer Name(s) *

SpeakerPro Exam Score (optional)

If available, enter your score for our records. This will be verified internally.

Speaker Bio (100–200 words) *

This will be used for the ISA Certified Speaker directory and promotional purposes.

Topics You Speak On *

Topics You Speak On List 3–5 topics you regularly speak about.

Link to Website / Social Media Profiles *

Link to Website / Social Media Profiles

Event Organiser Testimonial Upload *

Provide a testimonial, review, or letter from an event organiser or client (PDF, Word, or image).

Professional Head Shot *

Speaker Kit Upload *

Include your bio, headshot, topic description, and any supporting speaker marketing materials in a single PDF or ZIP file.

Link (URL) to Your 20+ Minute Live Speaking Video *

Virtual Readiness Proof

Upload a screenshot of your virtual presentation setup

I confirm that all information provided is true and accurate to the best of my knowledge. I understand that providing false or misleading information may result in my certification being revoked.

I Agree to the ISA Code of Ethics

Signature *

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