Book Mark - Speaker Form
If you are looking to book Mark Crocker for an event, please take a moment to fill out the following information (to the best of your knowledge).
Name of your organization
Your Phone number
Please provide further details about the event
Potential Date of Speaking Engagement
Address of Speaking Opportunity (street, city, country)
Team Leader Certification
First Do No Harm - poverty and partnership
Crossing the Great Divide - understanding other cultures
Getting connected - Team building
Mission Architecture - developing your unique fingerprint for mission engagement
An introduction to relief and development
Approx length of time
45 minute keynote
1-3 hour seminar
half day seminar
full day seminar
two day seminar - weekday
two day seminar - weekend
three day seminar - weekday
three day seminar - weekend
What is your #1 intended outcome
Tell me a little bit more about who will be there
How many people do you expect to attend?
What is the approximate age of your attendees?
Would you welcome outsiders from your group to attend?
Live Online or Live In-Person
online (I use Zoom for online sessions)
Please list the venue amenities (for live in-person)
a projector and screen
microphone for presenter
audio line out (headphone) for computer
ability for presenter to personally control presentation from front of room
whiteboard, markers and eraser
Are you looking for additional communication?
round table discussion
leadership meeting or meal
approximate start and finish times
Expenses are in addition to seminar fees, and include:
- Driving (Cost $0.50 per kilometre)
- Airport parking
- Ferry costs
- Per diem ($60 per day)
- Rental car, insurance and fuel
- Travel Insurance (where applicable)
I agree to pay all travel expenses over and above any seminar fees (signature)
Type your full name to validate as your electronic signature
While I would love to accept every opportunity to volunteer my time, I am unable to do so as I make my living through providing coaching and training sessions.
I am looking for a seminar fee estimate
I want a total cost estimate including both seminar fees and expenses
I am looking for you to volunteer a seminar
hit the submit button!
I appreciate your interest in having me communicate with your community. I will soon be in touch.
Thanks so much!
Access my promotional Bio and pics at:
Read my most controversial blog post here:
778 995 5505
A copy of your responses will be emailed to the address you provided.
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