Event/Consulting Request
Thank you for your interest in learning with me. In order to streamline the process of your request (and cut down on some back and forth emails), please take a minute to complete this form.

I am currently only available for VIRTUAL sessions.

Many free resources are available on my website, 100faculty.com. I also offer a self-paced trauma-aware teaching course through Online Learning Toolkit that might better fit your budget and needs.

I will do my best to get back to you in 3-5 business days. If you haven't heard back by then, please email me again at karenraycosta@gmail.com.

If we find alignment in our needs, I will send you a 100 Faculty invoice via email. Please make sure to send me any forms required by your institution via email as well. These might include a W-9, for example.
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Your Name *
Your Email *
Institution/Organization *
Type of Offering Requested *
Requested Topic *
Expected number of attendees *
Audience (e.g., faculty, staff, students, etc.) *
Ideal date(s) and time(s) *
Your budget range for this event? *
Preference for session hosting? *
Payment for services is due within 21 days of the service. Once I review your form submission, I will contact you via email with an invoice. Please plan to contact your business and financial services office upon receipt of your invoice to confirm details on any required forms and to facilitate timely payment. Late fees will be assessed for payments not received within 21 days. Please confirm your understanding of these expectations. *
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