Invitation Request Form for Dr. Jane Goodall
Thank you for your interest in having Dr. Jane Goodall appear at your next event. Dr. Goodall travels nearly 300 days a year discussing her life and work, promoting the programs of the Jane Goodall Institute, and emphasizing the power each of us has to make a difference. Dr. Goodall and her team welcomes invitations from schools, organizations, and corporations that share her mission of empowering individuals to make positive change to benefit people, animals and the environment.

If a question does not apply to you, please type N/A in the blank space.

Have a question or need help? Contact us at invite@janegoodall.org
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EVENT INFORMATION
PROPOSED DATE(S): *
CITY *
STATE *
COUNTRY *
CONTACT INFORMATION
NAME OF SPONSOR/ORGANIZATION: *
CONTACT INFORMATION: *
Contact name, title, e-mail, phone number, etc.
EVENT DESCRIPTION/DR. GOODALL’S ROLE IN THE EVENT: *
PROPOSED EVENT SCHEDULE: *
ESTIMATED NUMBER OF ATTENDEES: *
EVENT DEMOGRAPHICS: *
SPEAKER’S FEE OFFERED: *
(NOTE: YOU WOULD ALSO BE RESPONSIBLE FOR TRAVEL & ACCOMMODATION EXPENSES)
LOGISTICAL INFORMATION
APPROXIMATE EVENT TICKET PRICE: *
DO YOU HAVE A ROOTS & SHOOTS GROUP ESTABLISHED?
IF DR. GOODALL IS NOT AVAILABLE WOULD YOU BE INTERESTED IN ANOTHER SPEAKER FROM THE JANE GOODALL INSTITUTE? *
ADDITIONAL INFORMATION:
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This form was created inside of The Jane Goodall Institute.