Rodney Walker Speaking/Professional Development Proposal Form
Thank you for your interest in Purpose Prep, and, in particular, Mr. Rodney Walker!

In order to proceed with securing Mr. Walker on your calendar, please fill-out the following form, and we will send a formal agreement using the information you provide. Once we receive an executed copy of the agreement, we will make travel arrangements, and invoice the organization at the contact provided below.

Thank you again, and please do not hesitate to contact process@purposeprep.com with any questions you may have!
Name, address, and email of the organization (where the invoice will be sent): *
Your answer
Event contact (email/cell phone number): *
Your answer
Formal name of event (if any):
Your answer
Speaking event topic (if any):
Your answer
Venue address: *
Your answer
Event date: *
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DD
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YYYY
Event start time: *
Time
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Event end time: *
Time
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Time speaker is presenting (may coincide with above times) (not applicable for Professional Development events): *
Time
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Requested arrival time (please allow for at least 30 minutes):
Time
:
Maximum amount of time speaker has to present: *
Anticipated audience size:
Your answer
Expected audience type (i.e. counselors, students, administrators, etc.)
Your answer
Audio-visual equipment provided at location:
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