Liz Lassa Speaker Interest Form
I am excited about the possibility of partnering with you to minister to your women! Please complete this form so I can get back with you on availability and a speaking fee. I live in the Chicago suburbs and prefer to drive if it's under five hours (mileage is 55 cents per mile). I use PowerPoint. I have a clicker, laptop, and WiFi cord to use with a large TV or projector for smaller gatherings.  

In Him, 
Liz Lassa
www.LizLassa.com
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1. NAME & ORGANIZATION
What is your name, staff/volunteer role, church or group name, address, phone number, and website (if you have one)?
2. DATE
What date(s) are you considering? Weekday or weekend? If flexible, list a range of months.
3. TOPIC
What topic(s) interests you? 
NOTE: The first six topics cover the spiritual practice of journaling, can include all four ways to journal, and have a lot of the same content. However, the topic title and flyer we use, the stories I use, and the talk length changes based on what you think your group needs.
4. EVENT TYPE
What is the event type?
5. EXPECTED ATTENDANCE
How many women do you expect based on past years, events, or monthly attendance? If you're unsure because this is your first time hosting, please specify how many women you think/pray might attend? 
6. SPACE LIMITATIONS
Is there an attendance limit you must adhere to based on room size?
7. TALK LENGTH 
How long would you like me to speak/lead? I am an experienced facilitator and can lead a morning or evening mini-retreat with one of my journaling topics or do them in a shorter 35-70 minute format. The 70-minute plus format includes several interactive, community-building sections and a 10-minute (or more) quiet time to practice journaling.
8. REPEAT
If this is a breakout how many times will you need me to repeat the talk?
9. PROMOTION 
I can provide a flyer with custom copy for your event and graphics for social media for free. Would you like me to create a flyer with your event information? 

Three flyer options:
 

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10. REGISTRATION
If this is a monthly meeting and you don't need registration, ignore this question. If you do, it is best if your church website person can create an event registration link. However, I can provide a registration link with your flyer and a custom message from you housed on my website to make inviting friends easy and registration fee collection simple.
(ex: www.lizlassa.com.your-group-name)
11. BUDGET
What is your estimated budget for a speaker? If no budget, do you plan to charge per person?  
12. INVENTORY NEEDS
Will you want to buy the small Spiritual Circle Journals at bulk rate ($13 vs. $16) so each attendee receives one? Groups over 100 can get them at an even lower bulk rate. The journal could be included in the cost of their ticket. If you are not charging for the workshop, don't have a budget to work with, and don't want to include them, we can use a handout for the journaling exercise and make journals available after the talk at a book table.
11. BACKGROUND 
Is there anything you want to tell me about your group, their demographics, and where they are at spiritually? 
12. MISC.
Do you have any questions or anything else you want to share with me? 

THANK YOU FOR TAKING THE TIME TO COMPLETE THIS FORM. I WILL GET BACK WITH YOU RIGHT AWAY! 
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