Speaking request

Invite Dr. Patience to Speak

Thank you for your interest in inviting Dr. Patience Dean to speak. Please provide details about your event, audience, and speaking request so the team can review the opportunity and follow up with you.

Contact information

First name *Last nameOrganizationEmail *Phone

Event information

Event nameEvent websiteEvent typeEvent dateStart timeEnd timeEvent locationFormatExpected attendance

Audience

Who is the audience?Audience sizeIndustry / communityAge range (if relevant)

Speaking request

Requested topicPreferred talk lengthSession typeWhat would you like Dr. Patience to speak about?What outcome do you want for the audience?Why do you believe Dr. Patience is a fit for this event?

Logistics / budget

Speaker fee budgetTravel covered?Hotel covered?Transportation covered?

Additional details

Additional notesUpload event deck / flyer / invitation (optional, up to 20 MB)How did you hear about Dr. Patience?