Retreat and/or Stage Speaking Engagement Request Form

Organization/Event Details:

Name of Organization/Event: *

Event Date(s): *

Location/Venue: *

Briefly describe the nature and purpose of the event: *

Collaboration Details:

Type of Collaboration Requested (Retreat/Stage Speaking/Both): *

Retreat

Stage

Both

What specific role or activities do you envision Jessica Hanaghan undertaking during the event? *

How do you believe Jessica's expertise aligns with the goals of your event?

Audience and Event Demographics:

Describe your anticipated audience (age range, interests, backgrounds, etc.):

How many attendees are expected at the event?

Event Theme and Topic:

What is the main theme or focus of the event?

Are there specific topics or areas you would like Jessica to address during her participation?

Logistics and Support:

Will travel and accommodation expenses be covered for Jessica?

Are there specific technical requirements or AV equipment that Jessica needs to be aware of?

Will there be any pre-event meetings or rehearsals required?

Additional Information:

Is there any other relevant information you would like to share or specific questions you have for Jessica?

How did you hear about Jessica and what motivated you to reach out for collaboration? *

Contact Name *

Phone *

Email *

Preferred Method of Contact

Are there any specific deadlines or milestones we should be aware of?

Your detailed responses to these questions help us better understand your event, audience, and objectives, allowing us to evaluate how Jessica's participation can enrich the experience for everyone involved. We appreciate your consideration of Jessica for your retreat and/or stage speaking engagements. https://jessicaleslie.com