Home » Justin Graves Speaking Request

Justin Graves Speaking Request

Justin Graves (HESONWHEELS) Speaking Request Form
Please use this form to make a formal request for Justin to motivate others at your next event! Justin has professional speaking experience with ages from 5 - 55 and is more than willing to work with you, personally, to craft a relevant, motivating, and timely presentation for your event. For these reasons, please try your best to provide as much detail as you feel comfortable below.


*Please e-mail justin.graves@vt.edu if you have any issues or questions about filling out this form.

Who are you? (Your name) *
(i.e., Holly Weiss)
Your answer
What is your e-mail address? *
This will likely be our primary form of contact, so please ensure accuracy!
Your answer
What is your phone number?
This field is not required.
Your answer
Where are you located? *
(i.e., Boston, Massachusetts)
Your answer
Where is your event? *
Your answer
What are you passionate about? *
We'd like to get to know a little bit about YOU.
Your answer
When is your event? *
MM
/
DD
/
YYYY
Time
:
Are you requesting through a particular organization? *
If yes, what is the name of your organization? *
If no to the prior question, please simply fill in "N/A".
Your answer
Also if yes, in your words, what is your organization's mission? What are you all passionate about? *
If no the question before last, please simply fill in "N/A".
Your answer
Do you have a website or online presence? *
If so, paste the URL here please! We like to do our research.
Your answer
What kind of event is this? *
What are the participants doing? What are some goals of your event for your participants?
Your answer
How many people are you expecting at your event? *
Your answer
Does your event have a particular theme? If so, what is it? *
Your answer
Will Justin be able to spend some time interacting with your audience prior to the presentation? *
How long will Justin be able to speak for? *
We can adjust the presentation to fit any time limit...so be honest!
Your answer
Will Justin have access to AV equipment if necessary? *
(i.e., a projector, microphone, or speakers. We will bring our own laptop.)
Please enter any additional information that may help us in providing you exactly what you need based on this request.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service