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Speaker Request
If you're interested in booking Josie for an event, podcast, conference, or other speaking opportunities, please fill out the following form.
Thanks in advance!
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Email
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Your email
Name
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Your answer
Name of Organization
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Your answer
Website and social media handle(s)
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Your answer
What kind of event are you interested in booking Josie for? Please include whether it is in person or online and the event type (conference, panel, podcast, etc)
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Your answer
What role would you like Josie to have at your event?
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Appear on and contribute to a panel discussion (Panel Appearance)
Moderate a panel (Panel Moderation)
Speak on specific content (Speaker / Delivery of Educational Content - up to 60 min)
Deliver a keynote / opening remarks (Keynote / Plenary - up to 60 min)
Other:
Required
Date
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MM
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DD
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YYYY
Location
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Your answer
Time of Event:
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Time
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AM
PM
Duration of the Entire Event?
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Your answer
Expected number of attendees?
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Your answer
Purpose of the Event? What do you want your attendees to walk away with from this event?
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Your answer
What about Josie and the work she does / her message aligns with this event, your organization and/or audience?
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Your answer
FOR PODCASTS, IGLIVE, AND Q&A-STYLE EVENTS ONLY: What are 3-5 questions you'd like to discuss with Josie? We understand that due to the conversational nature of podcast interviews, you may not touch on all of these.
Your answer
What is your budget for this event?
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Your answer
Any additional information you'd like to share?
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How did you hear about Josie?
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Your answer
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