Speaker Request for Janae Ponder, LCSW

Request Janae Ponder, LCSW-QS

Public Speaker, Panelist, and Presenter
Requester's Name

First NameLast Name
E-mail
Phone Number

Area CodePhone Number
What is the name/title of your event?
Event Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Organizational Affiliation
How did you hear about Janae Ponder/Life-Spire Counseling?

WebsiteYoutubeWord of MouthSocial MediaOther
Select your target audience (select all that apply).

Children 5 to 12Adolecents 13-17Young Adults 18-25Adults 26-50Older AdultsFemales OnlyMales OnlyMales and FemalesOther
Is the event online or in-person?
What is the link for the online meeting for this event (this can be provided at a later date)?
For online events only: Can affiliation links to book recommendations and Life-Spire Couseling online store be shared virtually with the group?
Anticipated date/s for your event?
Are these dates flexible?
What time is the event (If there are multiple dates please specify the times for each day)?
Are there any parking instructions for Janae once she arrives?
What time do you want Janae to arrive?
What is the duration of your event (Please indicate an estimated start and finish time)?
Do you want Janae to stay for the entire event?

YesNoOther
How long does Janae need to speak for (Please indicate an estimated start and finish time)?
Can Life-Spire Counseling Services setup a table for selling and advertising?

YesNoOther
Is there an attire expectation for Janae. Please include color preference as well (business, casual, formal, etc.)?
How many are expected to attend your event?
Will you charge a fee for attendees of your event?
How many Life-Spire Counseling staff members are permitted to attend, if there is arranged seating and meal services?
What is the topic or theme Janae will discuss?
If this is for a panel discussion please share the complete names of other panelists who will be participating, questions/topics, and the goal of the disucssion.
Payment Considerations: Although Janae frequently generously volunteers her time, it's essential to acknowledge her status as a licensed professional. A tangible investment in her time and services is expected. Please note that Janae will be commuting from Deltona, FL, if your event is held outside of the area. If your event falls on a weekday, Janae may need to adjust her client schedule, resulting in a loss of income to support your event. Additionally, please consider the requested time limit for her speaking engagement and the necessary preparation time required. Janae will reach out to confirm her participation and discuss whether a deposit is required based on the speaking duration and event location. Kindly consider these details as you plan with your planning committee to ensure fairness, reasonableness, and equity in your offer.
What is your budget?
Please provide a range for your honorarium.*

$50 to $100$100 to $500$500 to $1,000$1,000 to $5,000$5,000 and above.An amount to be determined by Janae.I was hoping Janae would donate her time.
Please upload any event flyers or documents for marketing purposes

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Marketing Materials

Feel free to use the following images or information for advertisement of your event after agreement is confirmed in writing from Janae.
Additional information can be found about Janae and Life-Spire Counseling Services at these links:

//orlandovoyager.com/interview/life-work-janae-ponder-deltona-fl/

https://www.life-spirecounseling.com/
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Request Janae Ponder, LCSW-QS

Marketing Materials