Michelle Nietert's Speaking Questionnaire
Please fill out this form including everything needed for your speaking event! Thank you!
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Email *
Name of organization?
Address of the place to speak?
Preferred speaking date?
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Alternate speaking date?
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Arrival time?
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What time is Michelle to begin speaking?
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How many minutes should Michelle speak?
What is the topic?
About how many guests are you expecting/what is the approximate size of the audience?
What is your first and last name, address, and phone number?
May we set up a table for Michelle to sell some of her favorite books? If so, will you provide the table or should we bring one?   
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Please provide which room or any special instruction to help us find where to set up  
Do you have a budget for this event?
How did you hear about Michelle?
Is PowerPoint available to be displayed? If so, will you provide the computer, or should we bring one for the thumb drive?  
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Michelle usually brings her presentation as she often adjusts things in order to customize them to the group she’s talking to at the last minute. If there is a reason that anything would be needed earlier, we would like to be informed at least two weeks before the event. Do you foresee needing the presentation in advance?  
If we provide a handout template in advance, could you make copies?
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Will Michelle be using a microphone?
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Is there a soundboard where music could be played before Michelle comes in or during the presentation?   
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Does your organization have access to high-quality video equipment that could be utilized?  
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What is the agreed upon pay rate? (Not including travel expenses)
How will travel expenses be covered?
Michelle usually likes to touch base briefly 10-20 minutes with the event coordinator or person of contact 7-10 days before the event. Please contact her speaking coordinator, Bibiana Green, at that time to schedule the phone call. You may reach her at mhnspeaks@gmail.com. If you don’t receive a response, Michelle’s executive assistant line is  972-755-1888. 
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Note: Please, as soon as publicity is created for the event send it to us so Michelle can see and approve is going out. We would also appreciate a copy and the ability to share it on her social media outlets unless the event is closed only to organizational members. If it is closed, she usually just communicates her presentation topic and asks for positive thoughts and/or prayers.   
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Final note:  While Michelle is more than happy to provide a bio, photo and description of the presentation as well as promoting on her social media outlets, we ask that the organization be completely responsible for publicity creation and distribution.
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A copy of your responses will be emailed to the address you provided.
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This form was created inside of Community Counseling Associates.