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About
Who We Serve
Impact
News, Media & Events
Partner With Us
- Donate
Contact
- Request a Speaker

Speaker Inquiry Form

Thank you for your inquiry. We are excited about the chance to partner with you. To help us customize our event proposal, contract, and message for your audience, please fill out this questionnaire. Please be sure to hit SUBMIT to send your request.

Email(Required)

Contact Person Name

Client/ Organization

Cell Number

Event Name

Event Date

MM slash DD slash YYYY

Time of Presentation/Speech

Hours

:

Minutes

AM/PM

Event Location/Venue

Expected Number of Attendees

Is this event open to the public or invite only?

Open to the public

Invite Only

Is there a fee for registration?

Yes

No

Preferred Speaker

Chairman T.D. Jakes

Kelley Cornish, President and CEO of the T.D. Jakes Foundation

Event Presentation Format

In-person

Virtual

Hybrid

Pre-recorded

Other

Other Event Presentation Format

Program Desired

Keynote/ Session Message

Multiple Sessions

Facilitator/ Moderator

Other

Other Program Desired

Topics of Interest/ Speaking Topic Details (What would you like the speaker to address?)

Requested Length of Speech

Will this session/message be recorded and made available for replay after the live event?

Yes

No

Is there a Q&A session? If yes, what is the requested length?

Anticipated session attendance (please describe size and demographic information)

Anticipated Outcomes (please describe the goals of this message/ session)

Please describe your budget for speakers/this session (budget range or specific budget if available)

Will travel and hotel accommodations be provided ?

Yes

No

Is there a fundraising component to this event?

Yes

No

Is there a fundraising component that can be added to the event to honor the T. D. Jakes Foundation?

Yes

No

Will any promotional materials for the event include the speaker's name?

Yes

No

What are the publicity, social media, and marketing plans for the event?

I agree to be contacted by a member of the TDJF team to discuss my inquiry further.

Yes

No

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