SPEAKER REQUEST FORM
I have 13 years of experience in launching, building and sustaining non-profit organizations and non-profit programs and have a mssion to help other Non-profit Visionaries do the same. I have spoken nationally and internationally at numerous seminars, conferences and workshops on various professional topics and am a huge proponent of community collaborations and partnerships to meet the needs of some of our communities' most vulnerable members.
I would be more than happy to share my expertise at your next event, committee meeting, webinar or training. Upon completion of the form, I will reach out to discuss my rates. I am open to donating my time but, will do so on a limited and case-by-case basis.
Thank you for reaching out!
Contact Information
Organization/Business Name
Contact Name
Email
Website
Phone
Event date
Event Location
Event Title
Time
Duration
Please list how long the engagement will be (1 hour, 90 minutes, etc.)
Purpose of the Event
What do you intend your event to accomplish? What is the message you'd like to convey to your attendees? Which tools would you like them to walk away with?
Audience
Please specify the population your event is targeting. (Ex. foster parents, young adults, Nonprofit Executives, Emerging Nonprofits, etc.)
My Role
What information would you like me to share? What would you like me to convey to your audience? How can I add value?
Expected Number of Attendees
Have you budgeted for a Speaker/Presenter?
Yes
No
Will I have the opportunity to display/share promotional materials?
Yes
No
Are tickets being sold to your event?
Yes
No
Event Flyer
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Please upload your Event Flyer or Promotional Material.
SEND THE SPEAKER REQUEST