Training, Speaking, & Consultation Requests

Training, Speaking, & Consultation Requests
Name of Organization
Organizer or Contact Person

First NameLast Name
E-mail
example@example.com
Phone Number

Area CodePhone Number
Sponsorship of Event, if applicable
Request

Training or WorkshopKeynote Speaking, Conference Speaking, or PanelConsultation for Organizational or AgencyMental Health First Aid (Youth or Adult)Other
Details of needs for the identified request
Budget for the event
What is the ticket option for attendees?

No cost for attendanceDiscounted and/or sponsored ticketsAttendees pay for attendanceOther
Expected Number of Participants
Date and duration of the event
Thank you for your interest in inviting Megan M. Hamm to work with you and your organization. It is a complete honor to be considered.

After submitting this form, Megan or her staff will contact you within 48 business hours to further assess your needs.
Should be Empty: