Dr Motivate LLC Speaker Request Form

  • Dr Motivate LLC Speaker Request Form

    Let us know how we can help you!
  • Format: (000) 000-0000.
  • Event date?*
  • Any other specific date and time, if the above selection is not suitable.
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  • Logistics Setup*
  • A/V Available*
  • Can session be recorded?*
  • Can photos be used for marketing?*
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  • Audience Composition*


  • ✅ Keynote (Inspire + Align)

    A high-energy message that motivates, connects the theme to your audience, and leaves people with a clear takeaway.

    Best for: conferences, banquets, association meetings, large groups, kickoff events.

    Typical length: 20–60 minutes (plus optional Q&A).

    Outcome: mindset shift + clarity + momentum.

     

    ✅ Workshop (Teach + Practice)

    An interactive session where participants learn a skill and apply it during the session (tools, exercises, scenarios).

    Best for: teams who need practical strategies and real application.

    Typical length: 60–120 minutes (or half-day/full-day).

    Outcome: skill-building + tools + action steps.

     

    ✅ Training Series (Sustain + Improve)

    A multi-session program designed for behavior change over time with reinforcement, accountability, and measurable progress.

    Best for: leadership development, culture/accountability, communication improvement, ongoing professional learning.

    Typical format: 2–8 sessions over weeks/months. Session time length 30/45/60/90

    Outcome: lasting improvement + implementation + results.

  • Which format best fits your goal today?*
  • Select your top three outcomes
  • How will you measure success after the session(s)?
  • Budget Range
  • Decision Deadline (14 day minimum notice required) Special Approval Required for less than 14 day submissions)*
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