Justice Consulting Speaker Request Event Details Question Title * 1. Name of Organization/Group Question Title * 2. Event Sponsor(s) Question Title * 3. Contact Person Name Phone Email Question Title * 4. Name and Location of Event Question Title * 5. Event Date and Time Date / Time Date Time AM/PM - AM PM Question Title * 6. Requested Topic Question Title * 7. Presentation Format Keynote Training/Presentation Interactive Workshop Panelist Other (please specify) Question Title * 8. Requested Time Length 1 hour 2 hours Half day Full day Other (please specify) Question Title * 9. Audience Information Number of attendees Level of familiarity with topic Open to public or private event Question Title * 10. Travel and Lodging Information Done