Speaking & Facilitation Inquiry Form
Thank you for your interest in booking Veranda Rodgers, MBA, Founder, President & CEO of Pregnant with Possibilities Resource Center, to speak at or facilitate your upcoming event. Please complete the inquiry form below, and a member of our team will reach out to you to discuss details and availability.
Contact Information
Full Name
First Name
Last Name
Organizations Name:
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Website/Social Media Handles:
Event Details:
Event Name:
*
Event Date(s):
Event Time:
*
Hour Minutes
AM
PM
AM/PM Option
Event Address (If virtual please leave this section blank)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Estimated Audience Size:
*
Audience Type (e.g., Students, Professionals, Community Members, Faith-Based, etc.)
*
Event Focus/Theme:
*
Please describe the topic(s) or area(s) of interest
Desired Presentation Topics:
*
Examples: (Maternal Health Equity, Women's Empowerment, Nonprofit Leadership, Mental Health, Trauma Informed Care, Youth Development, Faith & Purpose, etc.)
Budget/Honorarium:
*
Please share your proposed speaker budget or honorarium range
Additional Information:
Thank your for your request!
A Member of our team will review your submission and follow up within 3-5 business days to discuss next steps.
Submit Application
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