Thank you for booking Scott Carbonara for your event. Please provide us with some information so that we may customize this session to meet and exceed your expectations. (Provide your best estimates.) If you have any questions, please contact Jocelyn Godfrey, Program Manager, at or (919)732-5549. After we receive your completed questionnaire, we will set up a time to talk to Scott by phone to finalize speaking topic and goals (optional).

* 1. Organization Information

* 2. Demographics of Group:

* 3. Expectations:

* 4. Objectives:

* 5. Session Flow:

* 6. Program Success:

* 7. Please share any other concerns or questions: