Ceola J. Speaker Request Form

Ceola J. Speaker Request Form

Requestor Contact Informaion
Name

First NameLast Name
Organization / Church / Event Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Website or Social Media Link
Event Details
Event Name
Event Date

MonthDayYear
Date
Event Location
Estimated Audience Size
Event Type

Women's ConferenceChurch ServiceCommunity EventPanel or InterviewWorkshop or TrainingPodcast or BroadcastOther
What other type of event is it?
Speaking Format

In-PersonVirtualHybrid
Message Details

What would you like Ceola J. to speak about?
Topic Request

Idendtity & PurposeHealing from TraumaFaith Beyond What I Can SeeThe Power of ForgivenessWomen's Empowerment & LeadershipProphetic Empowerment
How long would you like Ceola to speak?

30-45 Minutes45-60 Minutes60-90 MinutesOther
Please indicate details of preferred speaking time, and any related information that explains your preference.
What is the overall theme and goal of your event?
Honorarium/Budget

Yes, we have a budget.No, we are not offering and honorarium, but will provide travel and lodging.Le's discuss further.
Our Budget Is:
Is there anything else you'd like Ceola J. to know?
Upload Event Flyer or Invitation
Please verify that you are human*
Should be Empty:

Event Details