Invite Beyond the Struggle
Thank you for considering Beyond the Struggle for your event, program, or community gathering. Please complete this request form with as much information as possible. Submitting this form does not guarantee availability. Our team will review your request and contact you as soon as possible.
Contact Information
Primary Contact Name
*
First Name
Middle Name
Last Name
Organization or Group Name (enter N/A if none).
*
Contact Person’s Role or Title
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Method of Contact
*
Email
Phone call
Text message
Organization Website or Social Media Page
Event Information
Event or Program Name
*
Type of Event
*
Please Select
Recovery event
Community outreach event
School or youth program
Church or faith-based event
Conference or workshop
Prison, reentry, or justice-related program
Fundraiser
Podcast, interview, or media appearance
Corporate or workplace event
Other
Please describe the event type
*
Event Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Is the event date flexible?
*
Yes
No
Possibly
Event Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Estimated End Time
Hour Minutes
AM
PM
AM/PM Option
Will the event be in person or virtual?
*
In person
Virtual
Hybrid
Venue Name
*
Event Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
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Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Virtual Meeting Platform
Please Select
Riverside
Zoom
Microsoft Teams
Google Meet
Other
Please name the virtual meeting platform
*
Estimated Attendance
*
Invitation Request
Who is the primary audience?
*
Youth or students
People in recovery
Families affected by addiction
Faith community
Justice-involved or reentry community
Treatment or recovery professionals
General community
Other
Who are you requesting?
*
Mark Starcevic
The Beyond the Struggle team
No preference
Other
Requested Topic or Message
*
Addiction and recovery
Incarceration, choices, and consequences
Faith, hope, and transformation
Grief and loss
Family impact of addiction
Youth prevention and accountability
Reentry and finding purpose
Community outreach
The Beyond the Struggle story
Other
Describe the requested topic
*
Please describe your event and what you would like Beyond the Struggle to contribute.
*
What outcome do you hope attendees will receive from our participation?
Requested Presentation Length
Please Select
10–15 minutes
20–30 minutes
30–45 minutes
45–60 minutes
More than 60 minutes
Not applicable
Flexible
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Logistics and Support
What audio or visual equipment will be available?
Microphone
Speakers or sound system
Projector or display
Internet or Wi-Fi
Stage
None
Not sure
Other
Other
Is an honorarium or speaking budget available?
*
Yes
No
Travel expenses only
To be discussed
Available Honorarium or Budget
If travel is required, what support is available?
Mileage reimbursement
Airfare
Hotel or lodging
Meals
Local transportation
No travel support available
Not applicable
To be discussed
Are there any deadlines, security requirements, background checks, dress requirements, or special instructions we should know about?
I give Beyond the Struggle permission to contact me regarding this invitation request.
*
I give Beyond the Struggle permission to contact me regarding this invitation request.
I understand and agree.
*
I understand and agree.
How did you hear about Beyond the Struggle?
Please Select
Website
Social media
Referral
Friend or colleague
Search engine
Event or speaking engagement
Other
Submit Invitation Request
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