SPEAKER ENQUIRY FORM

I'd love to learn more about your upcoming event and hear all of your creative ideas! Please take a moment to fill out this questionnaire so I can get to know you better and understand the specific needs related to your event. Providing detailed information, including your email address, will greatly assist in the engagement process.

Name

First Name

Last Name

I wish to be addressed by the following pronouns

Enter below if you would like to share this with me. Please know this is an individual choice and I honour your sovereignty.

Mobile No.

(please include country code if outside of Australia)

Please give the name of the organisation your represent?

Please give me more information about the speaking engagement?

For example: the type of speaker service required- keynote, MC or facilitate a workshop; what is your aim with this event?; Have you held an event like this before?

When is the event scheduled for and what is its intended location?

How long would I be required to attend the event and for how long would you like me to speak?

Is there a subject you would like to be speak on? If so, can you please expand on this?

Please let me know the intended size of your audience for this event. What details can you tell me about your audience?

Have you heard me speak before? If so can you please tell me where? Why do you think I would be a good fit as a speaker for your event?

Is there anything else you would like to share with me about this enquiry?