Speaking Request Form

Thank you for your interest in inviting LaShawanda Moore to speak at your event. Please complete this form so we can better understand your needs and event details.

SECTION 1: APPLICANT INFORMATION

Full Name *

Organization or Company Name *

Title / Role *

Email *

Phone *

EVENT DETAILS

Event Name *

Event Date(s) *

MM/DD/YY

Event Location (City, State, or Virtual) *

Expected Audience Size *

Audience Type (e.g., corporate professionals, entrepreneurs, faith-based leaders, students, nonprofit sector, etc.) *

SPEAKING REQUEST

Type of Engagement Requested (check all that apply) *

If you chose other, please specify:

Preferred Topic(s) (choose from LaShawanda’s signature talks or share your specific need): *

Desired Length of Talk (e.g., 30 min, 60 min, half-day, full-day) *

LOGISTICS & BUDGET

Is this event in-person, virtual, or hybrid? *

Will travel and accommodations be covered (if applicable)? *

Speaker Honorarium / Budget Available *

Additional Notes or Special Requests