Speaking Engagement Request
Please fill out the form below to request Elizabeth Carter Trotman as a speaker/guest for your next event.
Requestor/Organizer
Name
First Name
Last Name
E-mail
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Requesting Organization
Name of Organization:
Organization Website:
Description of Organization:
Event Information
Event Title:
Event Description:
Name of Venue:
Venue Address:
Event Start Date
-
Month
-
Day
Year
Date
Event End Date
-
Month
-
Day
Year
Date
Event Start Time
Hour Minutes
AM
PM
AM/PM Option
Event End Time
Hour Minutes
AM
PM
AM/PM Option
Agenda/Schedule for Event (please provide a copy to programs@onecatalystconsulting.com):
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Event Setup (i.e. podium and microphone, lapel mic, etc.)
Speaker & Participation Details
Speaker Participation Format (keynote speaker, panel member, etc.):
Speaker Length of Participation:
Topic of Presentation:
Additional speaker(s) for the event (send copies of bios to programs@onecatalystconsulting.com):
Audience size:
Audience knowledge of topic:
Limited
Knowledgeable
Very Knowledgeable
Will you need a master copy of speaker’s handout/materials prior to the event for reproduction and distribution
Yes
No
Materials needed from speaker i.e photo, biography, copy of handouts, copy of speech (please include due date)
Day of Details
On-site Contact Name:
First Name
Last Name
On-site Contact Email:
example@example.com
On-site Contact Phone Number:
Please enter a valid phone number.
Format: (000) 000-0000.
Rehearsal information (time, location, etc):
Travel Information
Closest airport to the event:
Recommend hotel(s) closest to the event (name and phone number):
Event parking instructions and details:
Will parking be validated:
Yes
No
Submit
Should be Empty: