Speaking Engagement Request
If this request requires immediate attention or has a short turn around, please feel free to email me directly at juvenileforensicslp@gmail.com contact me at 609-568-0358
Sign in to Google to save your progress. Learn more
Email *
Name of Organization/Program/Event

Direct Contact Person Name
*
Email address *
Describe the speaking engagement request
Do You have a specific area of my specialization you would like me to present on?
*
Location of Event (Virtual or In-Person)
*
Date and Time of Event
*
Topics You May be Interested in:
*
Required
Please Identify the Length of Time Desired: 6+ Hour trainings are not offered virtually
*
Is there an honorarium or speaking fee? If so, what is the proposed amount?
*
If in person, will travel and flight accommodations be included?
*
Would you prefer a preliminary phone/zoom conference to discuss your interest?
*
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy