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Speaking or Appearance

If you are interested in booking Dr. Proctor as a speaker for your event, conference, or organization, please complete this short form. One of her representatives will connect with you to tailor a speaking engagement that will inspire and transform your audience.

For Speaker inquiries, please complete this brief form and we will respond with the next steps. Thank you!

First Name

Last Name

Email

Organization

Event Type

Corporate Event

Educational

Conferance

Scientific Symposium

Motivational Seminar

Commencement/Graduation

Charity/Fund Raiser

Other

If you selected other, please specify.

Event Location

Event Date (even if just an estimate)

Event Format

In-person

Virtual/Online

Type of Activity with Dr. Proctor

Keynote

Poetry Reading

Art Workshop

Panel or Fireside Chat

Online or Virtual Engagement

Focus

Please briefly describe the specific focus or themes you'd like Dr. Proctor to address in her talk

Estimated Audience Size

Under 100

100 - 500

500 - 1,000

1,000

Speaker Budget

$1,000 - $5,000

$5,000 - $7,500

$7,500 - $10,000

$10,000 - $12,500

$12,500 - $15,000

$15,000 - $17,500

$17,500 - $20,000

$20,000 - $22,500

$22,000 - $25,500

$25,000 - $27,500

$27,500 - $30,000

$30,000 - $35,000

$35,000 - $40,000

Greater than $40,000

Speaker Fees & Honorariums

Describe your budget and what you cover for speakers.

Duration of the Engagement

30 min or less

30 - 60 min

1 - 2 hrs

1/2 day

Full day

Why Dr. Proctor?

Brief description of your event and what you hope Dr. Proctor will bring to it (max 250 words)

Have you seen/heard Dr. Proctor speak before?

Yes

How dd you hear about Dr. Proctor?

Anything else?

Let us know if there are any other important details we should consider.

Thanks so much for taking the time to fill out this form. This will help us ensure the efficiency and effectiveness of our response.

We look forward to connecting with you soon!