Speaker Request Form: Shawnessa Devonish LCPC, NCC
Shawnessa Devonish LCPC, NCC is available for Media Appearances, Speaker Engagements, Workshops, On Set-Therapy Services, and Mental Health Media Consulting. She is well-versed in the in mental health and Relationship topics. Please complete the form below if you are interested in booking:
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Name
First Name
Last Name
Email
example@example.com
Company / Organization Name:
Phone Number
Please enter a valid phone number.
Name of Event:
Date of Event:
Time of Event:
Address/ Location of Event:
Type of Event (ex: Television Show, Workshop, Conference):
Will the event be:
In Person
Virtual
Expected Number of Attendees:
Media: Will the media be invited? If so, please provide the media list:
How would you like for Shawnessa to contribute to your event?
Speaker (30 Minutes)
Workshop Leader
Media Appearances
On Set- Therapy/ Support
Mental Health Media Consulting
How long will you need Shawnessa to speak?
Please Identify Your Budget?
Please list any Event Sponsors:
What Presentation or Speaking Topics do you prefer? (ex: Mental Health)
Will Shawnessa be allowed to promote any of her products/services?
Will travel accommodations be needed?* Please keep in mind Shawnessa is located in Maryland.
Deadline for Acceptance (Please provide the exact date):
How did you hear about Shawnessa?
Any additional information you would like Shawnessa to know or consider?
Submit
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