Request Form for Susan
Susan is honoured to receive requests to share her time and expertise. As you can appreciate, Susan is very much in demand as an authority, influencer and educator, and her calendar is booked out months in advance.

We make note of all requests and table at planning meetings for Susan's schedule, however not all can be fulfilled. Providing the below information allows us to schedule Susan's time efficiently and effectively.

Thank you for your help!
Sign in to Google to save your progress. Learn more
Name *
Email *
Your Website:
Date(s) Requested (yyyy/mm/dd): *
Please use this format: yyyy/mm/dd
Time(s) Requested: *
Please include your time zone.
Estimate of the total time involved, including prep, testing and setup if applicable: *
Is the event virtual? *
If not virtual, please include an extra sheet with the details of the location, facility set up, transport, accommodation, catering, technology capabilities, presenter expectations.
Required
Virtual Events: Please share specific details (Zoom / Podcast / Webinar / Social Media)
Non Virtual Events: Please share specific details (Location / Facility set up / Transport / Accommodation / Catering / Technology Capabilities / Presenter Expectations)
Purpose / Outcomes *
Please let us know the purpose and specifics of your request, including desired outcomes and expected audience if applicable.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of dogsthat.com. Report Abuse