Monique Nolly Speaking Request Questionnaire
Thank you for your interest in having Monique Nolly as a speaker at your event or podcast. Please take a moment to complete the questionnaire and we will get back to you within 24 - 48 hours.
Name
First Name
Last Name
Email
example@example.com
Title of talk:
Company/Organization/Group:
Description of talk:
Speaker Series:
Visiting Speaker
Work in Progress (internal)
Be My Podcast
Date/Time:
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Month
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Day
Year
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:
Hour
00
10
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30
40
50
Minutes
AM
PM
AM/PM Option
Location:
Other:
How many seats in the venue?
Faculty Member in Charge/Primary Contact:
Staff Support Person Telephone Number:
Email:
Calendar Visibility:
Public (Any Kingston resident)
University (Queen's)
Private (Faculty only)
Will event be recorded?
*
Please Select
Yes
No
Will there be live streaming?
*
Please Select
Yes
No
Will there be a reception following the event?
*
Please Select
Yes
No
Building:
Will there be a step and repeat red carpet?
Yes
No
Date/time of reception:
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Month
-
Day
Year
Date Picker Icon
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Other notes:
What is your speaker budget for this event?
Is travel and hotel assistance provided separately from the speaker budget?
Submit
Submit
Should be Empty: