Name
*
First Name
Last Name
Organization/Institution Name & Role
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Email
*
What type of event are you hosting?
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Conference
Workshop
Seminar
Staff Development Day
Other (please specify)
Which topics are you interested in for the keynote or workshop?
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Select all that apply
Capitalism and Identity: The Intersection of Race, Gender, and Wealth
Financial Literacy & Social Transformation
Inclusive Wealth Building: Strategies for Diverse Communities
Financial Empowerment & Overcoming Trauma
Other
What are the goals or desired outcomes of having K. Kenneth Davis speak at your event?
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Select all that apply
Increase awareness
Educate on specific issues
Inspire and motivate
Other (please specify)
Who is the expected audience, and what is their familiarity with the topics discussed?
*
Select all that apply
Primarily LGBTQ+ individuals
Mixed audience, varied familiarity
Mostly non-LGBTQ+ individuals, introductory level
Experts and practitioners in related fields
What format do you envision for the event?
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Keynote
Interactive workshop
Panel discussion
Other
Preferred Date
MM
DD
YYYY
What is the budget for your event?
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$3,000 - $4,000
$5,000 - $10,000
$15,000 - $20,000
$20,000+
Other
No Budget
Are there specific logistical or technical requirements or considerations that should be taken into account for the event?
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Yes (please specify)
No
Notes
*