Suzanne Frew Speaker Inquiry Form

Thank you in advance for taking the time to tell us about your event.

Please complete the form below and Suzanne will get back to you shortly with the next steps.

In what type of speaking are you interested?

Conference or Workshop Keynote Expert Panel Participant Retreat or Seminar Speaker Design Sprint Media Interview Other

If other, please explain

In what topics are you interested?

Bridging Cultural Divides in Community Outreach Cultural Competency Diversity, Equity, and Inclusion Social Equity Disaster Management Access Functional Needs Cross-Cultural Communications Climate Change and Vulnerable Populations I need help articulating my topic Other

If other, please explain

Your Organization Name

Organization Website

Contact First Name

Contact Last Name

Contact Email

Contact Phone Number

What is the Theme or Topic of Your Event?

What is the Title or Name of the Event?

What is the Date of the Event?

Event Website

Approximate Number of Attendees

What is Your Budget? (including travel & accommodations)

Please Share Anything Else You Would Like Us to Know