ROI Speaking Engagement request form
Please complete this form to help Rural Opportunity Institute staff better understand your needs for a training, presentation, or speaking engagement. We will get back to you soon with options for how we can best support you. Thank you!
Email address *
Your name *
Your answer
Phone number
Your answer
Organization
Your answer
Your role
Your answer
Please describe the primary audience for this engagement: *
Your answer
What type of engagement is this? *
What are your primary goals, and what do you hope that the audience will learn? *
Your answer
How long would you like the session to be? *
Your answer
What is the time frame or date(s) when you would like this engagement to occur? (If this is for a specific date or one-time event, please include that information) *
Your answer
What is the location for this event? *
Your answer
How many attendees can you guarantee for this engagement? *
What is your budget for this engagement? *
A copy of your responses will be emailed to the address you provided.
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