Kelly Presentation Request Form2

Presentation Request Form

Request Kelly Stewart to present at your next event.
Schedule Kelly to come speak at your next event!

The 90-minute, high energy presentation includes:
- Sex Trafficking Statistics
- Domestic vs. International Sex Trafficking
- Demographics
- Trafficker Profile
- Grooming Stages
- Language and Terms
- Social Media Threats
- Practical Safety Tips for Every Caregiver
- Sex Trafficking in Suburbia, Words from a Survivor
This professional PowerPoint presentation is appropriate for ages 13+ and includes 15 minutes of Q&A.
General Information:
Organization
Organization Name
Organization Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Name*
Contact Name
Phone Number*
Contact's Phone Number
Email*
Contact's Email
Event Information:
Event Name
Event Date

MonthDayYear
Event Time
Start and Stop Time of Full Event
Event Location

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Event Room Name/Number
If applicable
Group

Law EnforcementSocial Service ProvidersFinancial InstitutionCorporateWomen's GroupSocial ClubHealth Care IndustrySchool or EducationOther
Expected Number of Attendees
Event Purpose & Goals
Sponsored | Funded By
Ticket Price (if any)
Dollar Amount
Event Attire
Will There Be Other Speakers?

YesNo
If Applicable, Who Are The Other Speakers?
List other speakers
Speaker Check-in Time

Hour Minutes

AM/PM Option
Equipment Information:
The Event Venue Will Provide the Following Audio/Visual Equipment

ProjectorScreenSound SystemLaptop ComputerRemote
*Speaker prefers to only bring a thumb drive
Does This Event Require a PowerPoint Handout for Attendees?
*A copy of the handout will be emailed to you for printing and distribution to your attendees
Travel Information:
Name of Nearest Airport
That Speaker Would Fly Info
Distance to Speaking Event Venue from Airport
Miles
Event Travel Budget for Speaker
Travel fees applicable if over 50 miles from Houston, Tx
How Did You Hear About Kelly's Educational Presentation?
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Presentation Request Form

General Information:

Event Information:

Equipment Information:

Travel Information: