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Speaking Request
Hello! Thank you for giving me the chance to talk about my favorite subject —
growth mindset.
Please fill out the speaking request form as completely as possible to help me deliver a detailed proposal. I will respond to your request within 48 hours.
Need help sooner?
Message me directly at anniemaebrock@gmail.com.
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Name
*
Your answer
Email
*
Your answer
Name of Company/Organization/School
*
Your answer
Please provide a link to your organization's website, so I can get to know you better.
Your answer
Type of Speaking Engagement
*
Choose
Keynote (1 or 2 hours)
Workshop (3 or 6 hours)
Conference Session
Panel Discussion
Brief Presentation (>30 min.)
Book Talk/Signing
Other
If you selected "other," please describe the appearance request below. Or, skip to the next question.
Your answer
Type of Event.
(
Note: At this time, in-person events are only offered in the United States.)
*
Choose
In-person
Virtual
If this is an in-person request, please list the address of the event venue below. Or, skip to the next question.
Your answer
Briefly describe the event, including purpose, theme, and target audience.
Your answer
If the event will require translation services, what is/are the primary language(s) of the audience?
Your answer
Please include any additional relevant information below.
Your answer
Thank you for your interest in sharing the magic of growth mindset.
I look forward to speaking with you about this opportunity.
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