Speaking Request Application

First Name

Last Name

Phone *

Email *

Organization

Event Name

Event Date *

What date is your event?

Event Location

City, State or Virtual

Expected Audience Size

Who is the Audience?

Executive Directors

Development Staff

Board Members

Mixed

Desired Length of Presentation

Will AV equipment be available (if in person)?

Yes

N/A

Are books/workbooks desired as part of the package?

Will travel and lodging be covered (if in-person)?

What's the biggest challenge your audience is facing right now?