Speaker Request Form: Sree Sreenivasan, Roopa Unnikrishnan & other Center10 colleagues

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Thank you for your interest in working with us on your event. The following form should help us ensure we can support your needs appropriately.

Please tell us more about your organization *

Name of the organization

Contact details *

Your name & email

Phone Numbers *

Please share a contact number for us to get back to

Speaker

Please choose the speaker(s) you are looking to hire:

Roopa Unnikrishnan

Sree Sreenivasan

Both Sree & Roopa

Other:

Clear selection

Speaker

Please choose the speaker you are looking to hire:

Roopa Unnikrishnan

Sree Sreenivasan

Other:

Clear selection

Roopa Unnikrishnan: Topics

What topics would you like Roopa to cover?

6 Habits Of Innovators

Transformative Thinking: Challenging Assumptions to drive Innovation

How to develop your network of sponsors and mentors

Managing for creativity and innovation

Other:

Clear selection

Sree Sreenivasan: Topics

What topics would you like Sree to cover?

Digital Lessons From The Met – Connecting the physical to the digital

Social Media Best Practices

Other:

Clear selection

Format

At the current time, what format are you planning

Speech (30 minutes to 1 hour)

Workshop (Half-day)

Offsite (1 to 2 days)

Clear selection

Budget

Please share your expectations on speaker fees, travel, etc.

Location

Where are you expecting this speaking engagement to be held?

Planned date for the event

YYYY

Expected attendance

What is the expected size of the group & composition?

Other comments?

Please share any other information you think might be pertinent to creating a great experience for your leaders, team and organization:

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