Speaker Event Inquiry 

Thank you for your interest in booking me as a speaker for your event! To ensure I can best meet your needs, please take a few moments to provide the following information. I'll review it carefully and will follow up with you if I can accommodate your request.

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Organization Details
Please take a moment to tell me a bit about the organization you are reaching out from.
Contact Person (Name)
Contact person (email)
Your Role/Title:
Speaking Event
Please take a minute and tell me a bit about the event you're hoping to book me for. Include information about event title, theme, format and any other relevant information.
Is the event viritual, in person or hybrid. Are you looking for me to provide a virtual talk or to travel?
Proposed date of the event (please note if it is flexible)
Speaking Topic:
Please describe the specific topic or theme you would like me to address during the presentation.

Could you please provide details about the speaking format (e.g., keynote, panel, didactic) and the duration of the talk(s)?

Budget

Please specify your budget or honorarium for the speaking engagement.

If you have any additional details about travel expenses or accommodations, kindly provide them.

Audience:

Who will be attending the event? (e.g., industry professionals, students, general public)

Expected audience size:

Recording and Usage Rights:

Will the event be recorded?

Do you plan to use the recording for future distribution or promotional purposes?

Organizational Alignment
In line with our commitment to promoting inclusivity and equity, we value collaborations with individuals and platforms that actively support anti-racist, queer-affirming, and anti-ableist policies. With that in mind, does your organization align with these principles?
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Additional Information:
Is there any other information you would like me to know about me or your podcast? 
Once you've completed the survey, please submit it, and I will review the information provided. If the opportunity seems like a good fit, I'll be in touch to discuss further details and confirm my availability. Thank you! 
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