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Speaker Request Form to Book Dr. MJ
Are you looking for an engaging speaker to captivate your audience?
Dr. Mary "MJ" McConner can provide tailored presentations on a variety of topics. Fill out the Speaker Request Form to let us know about your event.
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1.
What is the name of the person of contact for this event?
(Required.)
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2.
What is the email of the person of contact for this event?
(Required.)
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3.
Event Name
(Required.)
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4.
Event Date
(Required.)
5.
Presentation Start Time
6.
Event Location & Address
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7.
Requested Presentation Type
(Required.)
Keynote Address
Guest Speaker
Conference Presenter
Panel Discussion
Workshop
Training
Talk Show Interview
Podcast Interview
Other (please specify)
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8.
What goals or objectives do you want the presentation to address?
(Required.)
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9.
Audience Analysis
(Ex: human resource professionals, senior leaders, career professionals, entrepreneurs, etc.)
(Required.)
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10.
What is your speaker budget? What expenses will the event organizer include (travel, hotel, class, meals, etc.)?
(Required.)
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11.
Are you promoting the event and to how many attendees are you expecting to attend this event?
(Ex: inspired, informed, educated, etc.)
(Required.)
