Speaking Request

Help us understand your presentation goals so we can serve you well. Filling out this form should take approximately 5 minutes.

Who do you want to invite?(Required)

Sarah Wayland, Ph.D.

Betty Adkins, M.A.

Julie Watson

Other

Your organization's name

Your organization's primary contact person(Required)

Who should we reach out to regarding this invitation?

Email address of the primary contact for your organization(Required)

Primary contact's phone number

Presentation topic

What do you want us to cover?

Approximate presentation date

Presentation format

Remote

In-person

Either

Approximate length of presentation

About how many participants do you expect?

How much will you charge each participant?

What percent of the proceeds will go to any non-profit's use?

Will this be recorded?

Yes

No

Negotiable

Is there any additional information you'd like to provide?

Name

This field is for validation purposes and should be left unchanged.

49141

Workshops

P.O. Box 174
Riverdale, MD 20738-0174