Request Dr. Helen for Your Event
Share your event details and preferred engagement so our team can review availability and next steps.
Contact Information
Organization / Company Name
*
Contact Person's Full Name
*
Contact Person's Title
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Organization Type
Please Select
Corporation / Business
Hospital / Healthcare Organization
University / Educational Institution
Professional Association / Conference
Church / Faith-Based Organization
Nonprofit / Community Organization
Other
Event Information
Event Name
*
Proposed Event Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Event Location (City / State)
*
Event Format
*
In Person
Virtual
Hybrid
Estimated Number of Attendees
*
Please Select
Under 50
50–100
101–250
251–500
Over 500
Not Yet Determined
Who is the primary audience?
Speaking Engagement Request
What type of engagement are you interested in?
*
Keynote Presentation
Keynote Presentation with Q&A
Keynote with Live Cooking Demonstration
Hands-On Cooking Workshop
Interactive Educational Seminar
Educational Breakout Session
Author Meet & Greet / Book Signing
Other / Not Sure
Preferred Topic or Area of Interest
What is the purpose or desired outcome of your event?
Budget & Additional Information
Estimated Speaker Budget
*
Please Select
Under $2,500
$2,500–$5,000
$5,001–$10,000
Over $10,000
Not Yet Determined
Prefer to Discuss
Will the presentation be recorded or livestreamed?
No
Recorded
Livestreamed
Both
Not Yet Determined
Additional Details or Special Requests
Please verify that you are human
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Submit Speaking Inquiry
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