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Michael Graham and/or Jim Davis Speaker Request Form
Thank you for expressing interest in having a speaker request for Michael Graham and/or Jim Davis.
Due to their respective speaker request review boardsĀ and the high demand of speaker requests we kindly ask that you briefly fill out this form. It should only take a quick moment and helps give a lot of clarity that should give you ultimately better clarity and quality of content or conversation.
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Your Name
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Your answer
Your Email
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Your answer
Your Phone
Your answer
Your Organization
Your answer
Your Organization Website
Your answer
Are you asking for Michael Graham, Jim Davis, or both at this speaking request?
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Michael Graham ONLY
BOTH Michael Graham and Jim Davis
Jim Davis ONLY
Other:
Is this speaking request digital or in person?
If it is in person - what address(es) will this take place?
Your answer
What are the date(s) and time(s) of the speaking request?
Your answer
Will the content produced during this speaking request be private, published to a small group of people, or published in a way where it is publicly available? How many people do you anticipate will interact with this content?
Your answer
What is format of the speaking request (plenary session, breakout session, TedTalk, panel discussion, interactive Q&A, podcast, zoom call... etc.)?
Your answer
What can you tell us about the original audience of this speaking request (size, education level, vocational range... etc.)?
Your answer
Who else will be speaking at this event (please include both confirmed and prospective speakers)?
Your answer
What are your hopes for how the original audience of this speaking request will be informed, equipped, or otherwise changed as a result of the content?
Your answer
If travel is required, do you agree that you will cover all travel expenses (flights, uber, hotel, and meals)?
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Yes
No
No travel required for the speaking request
Other:
What is the honorarium amount for this speaking request?
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Your answer
When do you need a formal commitment?
Your answer
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