Derrick Whitehead Speaking Engagement Questionnaire

If you would like to get more information about having Derrick Whitehead speak at your event, please fill out this form so our team can evaluate the opportunity and get back to you with more details.

Contact Information

Full Name *

Organization/Company Name *

Email *

Phone *

Event Details

Event Name *

Event Date(s) *

Expected Number of Attendees *

Event Location (Venue & City) *

Audience Profile

Primary Audience *

Age Range or Demographics *

Any Key Influencers or VIPs Attending? *

Speaking Topic & Objectives

Are There Any Specific Goals or Learning Outcomes You Hope to Achieve? *

Format of the Session *

What Topic or Theme Would You Like Derrick to Speak On? *

Agenda & Schedule

Length of Speech/Presentation *

Will There Be a Q&A Session? *

Technical & Logistic Requirements

Room Setup *

Audio/Visual Equipment Available? *

Recording & Permission *