Speaking Engagement Request Form
Thank you for your interest. Please complete the form below so we can learn more about your event and needs. Once we receive your completed form, we will follow up with more details.

Due COVID-19, we are only considering virtual speaking engagements.
Email address *
First and Last Name *
Organization *
Event Name *
Event Description *
Event Date *
MM
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DD
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Event Time *
Time
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How many attendees are you expecting? *
Expected Talk Length *
Will I be speaking for 15 min, 30 min, 1 hour?
What are your event objectives? In other words, what do you hope attendees will take away from this event? *
What virtual platform does your organization intend to use for the event (i.e. Zoom, WebinarJam, etc.)? *
Will your organization offer an honorarium? *
If your organization provides an honorarium, what is the estimated budget for an event speaker? *
Will this event be recorded? *
Please share any other helpful details about your event that may not be captured above. *
How did you hear about EDquity Consulting? *
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