SPEAKING ENGAGEMENT REQUEST Name * First Name Last Name Email * Company/Organization/University * Type of Engagement * (If "Other", Please Explain In Comments Below) Conference Paid Workshop Paid Training Charitable Event University Event Other Other Expected Number of Attendees * Audience Demographics Date * MM DD YYYY Time * Hour Minute Second AM PM In-Person or Virtual * In-Person Virtual Address Address 1 Address 2 City State/Province Zip/Postal Code Country What Topic of Discussion Are You Inquiring About? * (If "Other", Please Explain Below) Discovery Your Career Path Diversifying Tech Career and Creativity Reinventing Education Transitioning From Teaching To Tech Creating Happiness and The Life We Want Other Other Allocated Budget or Compensation Range For This Event * Any Additional Information? Thank you! I’ll get back to you to 5-7 business days!