Shemeka Brathwaite Enterprises, LLC

Speaker Request Form

Thank you for considering me as a speaker for your upcoming event. I understand the significance of creating a seamless experience for both the organizers and the attendees. Therefore, to ensure that I meet your specific requirements and deliver a presentation that exceeds expectations, I have a standard workflow process in place. Please take a moment to fill out the speaker request form below. Feel free to include just the essentials or in-depth details that you have readily available.

Company Name

Are you representing a Company? Complete this field with your Company Name. Or, if you are doing business as an Individual, then leave this field blank.

Select the best category to describe your organization

Website*

First Name*

Last Name*

Title

Primary Email*

Phone*

Please indicate the exact date of your event or one that is closest to the time frame you are anticipating.

Please enter the exact date of the event or approximate date that is in the closet to it.

Please provide as much details as you can regarding the event. Event date, location and time of the event? Objective of Event/Conference?*

Indicate the service you are seeking for this event from Shemeka.

What is the length of time allotted for the speaker presentation(s)?

Please list the topics that you are interested in based on Shemeka's expertise.

Do you have a speaker investment fee allocated for this event?*

Yes

Please provide the names and titles of the other speakers/panelists that will be at this event or past events.

Will the media be in attendance?

Yes

Is this event open to the general public or available through an individual invitation only?

General public

Invitation only

What is the expected number of attendees?

0-50

51-100

101-200

201-500

501-1000

1001-2500

2501-5000

5000+

Will the event be in person or virtual?

In person

Virtual

Has Shemeka spoken at this event before?

Yes