Invite Kelly to Speak Full Name Organization / Company Email Address Phone Number Event Name Event Date Event Location Audience Type Estimated Audience Size 2. Event Context (helps you assess fit) Type of Engagement Keynote Workshop Panel Training Retreat / Offsite Event Format In-person Virtual Hybrid Length Requested Primary Goal for This Talk 3. Content Alignment (especially important for you) Topic(s) of Interest Psychological safety Trauma-informed leadership Burnout prevention Resilient teams Mental health in the workplace Have you reviewed my speaking topics? Yes Not yet Is customization desired? Yes No Not sure 4. Budget & Decision-Making (optional but powerful) Speaking Budget Range Is this budget already approved? Yes No Not sure Decision Timeline Message 5. Logistics (optional, but helpful) Will travel be required? Yes No Not sure AV / Tech Support Provided? Yes No Accessibility Considerations 6. Open Invitation Anything else you’d like me to know about your event or audience? Submit
