Booking J. Dana Trent
Please use this form to request that Dana speak, teach, or preach at your event.
* Required
Email address
*
Your email
What type of event would you like Dana to participate in? (Check all that apply.)
Conference
Festival
Retreat
Church
News
Remote (Skype, etc.)
Other
Speaking
Teaching
Keynote
Plenary
Training
Preaching
Reading and Discussion
Workshop
Panel Discussion
Audio Interview
Video Interview
Other
Conference
Festival
Retreat
Church
News
Remote (Skype, etc.)
Other
Speaking
Teaching
Keynote
Plenary
Training
Preaching
Reading and Discussion
Workshop
Panel Discussion
Audio Interview
Video Interview
Other
What types of organizations are sponsoring or hosting this event? (Please check all that apply.)
*
Educational
Professional
Religious
Corporate
Other:
Required
Topics
*
Please select all topics that you would like Dana to speak or teach about.
Death, Dying, and Grief
Christian Meditation
Sabbath
Interfaith / Multifaith Topics
Required
Start Date of Event
*
MM
/
DD
/
YYYY
Location of the Event
*
Please enter the address, city, and state of the event.
Your answer
Duration of Event
*
Choose
1 hour
4 hours
1 day
2 days
3 days
4 days
5 days
6 days
1 week
Travel, Transportation, Food, and Lodging
*
If the location of the event is 2 hours outside of Raleigh, NC and/or the event is more than 1 day long, have you budgeted for travel, transportation, food, and private lodging expenses?
Yes
No
Appearances
*
Based on the information above, please select the number of times you would like Dana to speak, teach, etc.
Choose
1
2
3
4
5
6
7
Will any of Dana's appearances be recorded?
*
Yes
No
Maybe
Event Description
*
Please use this space to describe the event you would like Dana to participate in, especially If any of the questions above do not adequately capture how you would like Dana to participate. Please share the vision and purpose of the event, as well as details about the expected demographics of the audience (age, religion, ethnicity, gender).
Your answer
How many people do you expect to attend the event?
*
Up to 10
20-40
40-60
60-80
80-100
100+
Your attendees may benefit from reading one or more of Dana's books as part of their participation in the event. Would you like to order books in bulk?
*
No thanks
Maybe
Up to 25 books
26-50 books
51-75 books
76-100 books
100+ books
What is your anticipated honorarium budget for this event?
*
Your answer
Please enter your name, title, and contact information below.
*
Your answer
What are your roles in planning this event? (Please check all that apply.)
*
Primary point of contact to coordinate Dana's appearance(s)
Defining the goals and objectives of the event
Head organizer / coordinator of event planning subcommittees
Establishing the budget
Defining the master plan for the event
Booking the venue
Branding and publicity for the event
Cultivating sponors and partnerships
Operations during the event
Other:
Required
Is there anything else you would like to share about the event?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
