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Media Requests

Dr. Sian Leo Proctor

If you are interested in engaging Dr. Proctor as a consultant for your organization, project, or initiative, please complete this short form. One of her representatives will connect with you to discuss how Dr. Proctor's unique expertise can elevate your vision and actualize your objectives.

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

First Name

Last Name

Email

Organization

Type of Media

Type of Media
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F

If you selected other, please specify.

Name of Show/Publication

Audience Demographics

Briefly describe the demographics and psychographics (how they think and behave) of your target audience.

Type of Appearance

Type of Appearance
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B
C
D
E

If you selected other, please specify.

Topics

Please briefly describe the main topics you'd like to discuss with Dr. Proctor:

Format

Format
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D

Duration of Appearance

Duration of Appearance
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B
C
D

Proposed Dates / Timelines

Location (if applicable)

Location (if applicable)
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B
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D

Will this appearance require travel?

Will this appearance require travel?
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B

Details

Is there any specific visual content you'd like Dr. Proctor to provide (e.g., photos, videos from space)?

Why Dr. Proctor?

What is it about Dr. Proctor's perspective and approach that is appealing to you? (max 250 words)

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!