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Fly Futures Request:
Event, Workshop or Interview
Interested in having Dr. Knatokie Ford curate a Futures ALCHEMY session (keynote or workshop) or serve as a guest on your podcast? Please take a moment to fill out this form and provide additional details.
We appreciate your time and interest!
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Email
*
Your email
Event Point of Contact
*
Your answer
Point of Contact preferred honorific (e.g., Ms., Mr., Dr.)
Your answer
Organization
*
Your answer
Event Name
*
Your answer
Event Location
*
Your answer
Event Date
*
MM
/
DD
/
YYYY
Is the event open to press?
*
Yes
No
Required
Will the event be live streamed or recorded?
*
Live streamed
Recorded
TBD
Required
Anticipated audience size and types of attendees
*
Your answer
Type of Speaking Request
*
Panelist
Moderator
Keynote (15-25 mins)
Keynote (30 mins - 1 hour)
Workshop
Podcast Guest
Press Interview
Other:
Required
For Keynotes, Panels, and Workshops: Are you able to pay speaker fees and/or interested in information on rates?
*
Yes
No
N/A
For Keynotes, Panels, and Workshops: What is your speaker budget?
*
Your answer
Will travel expenses be covered?
Yes
No
N/A [for virtual engagements]
Other:
How did you hear about Augmented Futures?
*
Medium post
Social media
A talk or interview
Friend or colleague
Other
Required
Anything else you want us to know?
Your answer
Send me a copy of my responses.
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