SPEAKING REQUEST FORM
We appreciate your interest in requesting the educational consulting/research services of Dr. Terrell Strayhorn.
Please complete the following form to the best of your ability.
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What is the requestor's Institution/Agency/Group?

 
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Event Name/Description:

 
Event Date:

 
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Event Time: (if known)

 
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If this event requires travel, will TRAVEL COSTS be paid by your institution/agency?


 
If this event requires overnight stay, will LODGING COSTS be paid by your institution/agency?


 
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We will use this airport code to estimate travel expenses.
 
Is there anything else you'd like to share that will help us understand the (a) nature of your event (b) anticipated audience (c) event's theme and (d) time limits?

 
ARE THERE BUDGET CONSTRAINTS THAT WE MIGHT CONSIDER WITH YOUR REQUEST?

Speaker fees/honoraria vary based on a number of factors (e.g., prep time, duration, # of talks). We strive to offer affordable, competitive rates that make it possible for us to work with a diversity of institutions.
Your request has been received. Thank you! Look to hear from a member of our team at Do Good Work Educational Consulting, LLC.
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