Request Zakiya Williams-Spears to speak at your next community event.
Complete this form for in-person and virtual speaking opportunities.
Write “VIRTUSL” IN THE -EVENT LOCATION- space if it will be ONLINE.
Event Name
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First Name
Last Name
Event Description
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Event Date
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MM
DD
YYYY
Event Time
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Hour
Minute
Second
AM
PM
Event Location
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Name of Venue/Platform
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Contact Person Name
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Contact Person Email
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Contact Person Phone Number
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(###)
###
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Company Website
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http://
# of Anticipated Attendees
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Is there a cost for attendees?
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Yes
No
Will there be media coverge? If yes, which media outlets are expecting to be in attendance?
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Will there be event sponsors? If yes, please list all confirmed and invited sponsors.
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Will your organization offer an honorarium and/or cover travel and lodging expenses?
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What lead you to reach out to me as a guest speaker for your event? What topic would you be interested in me speaking about?
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Is there anything else I should know while considering this opportunity?
*
Thank you!