8639B 16th Street, #277 ● Silver Spring, MD 20910 ● Phone: 240.696.2400

E-mail: ● Website:www.CareerEssentialsInc.com

SPEAKER ENGAGEMENT REQUEST

Please complete the following information which will enable us to tailor a speaker engagement to precisely meet our needs. Upon completion, please remember to SAVE this electronic form or you will lose your information. Upon completion, please save and forward to .

SPEAKER INFORMATION:

Name: / Ms. Janet L. Owens
Titles: / Career Coach / Author / Speaker / Trainer / Entrepreneur
Company: / Career Essentials Inc. and DC Proposal Professionals
Areas of Expertise: / Career Coach, Professional Resume Writer, Proposal Development Expert
Books Authored / Ø  Self-Assessment Essentials for Smarties
Ø  Career Search Essentials for Smarties
Ø  Resume Writing Essentials for Smarties
Ø  Career Portfolio Essentials for Smarties for Smarties
Ø  Job Interview Essentials for Smarties
Ø  Memoirs of a Job Hopper
E-mail: /
Phone: / 240-696-2400 Ext. 102

EVENT DETAILS:

Organization Name:
Name of Event:
Type of Event: / Job Fair University or College Event Convention Seminar
Other (Please Explain):
Type of Venue / College Office Building Convention Center Church Hotel
Other (Please Explain):
Location of Event: / Address:
City, State and Zip
Date(s) of Event: / Date and Time You Want the Speaker? Date: Time:
Alternate Date: Time:
Contact Person: / Name: Title: Phone: E-mail:

ENGAGEMENT DETAILS:

Speaker Capacity: / In what capacity would you like for the speaker to come?
Speaker Career Coach Resume Writer/Critique Author Trainer
Speaking Topic: / On what topic do you wish for the speaker to present?
Personal Assessment: Gifts Vs. Talents And Skills
Career Search Strategies
Professional Resume Writing
Career Portfolio Development
Effective Interview Techniques
Training Objectives: / Briefly describe what you would like to accomplish as part of your training objectives.
Audience Details: / College Students High School Students Beginning Career Mid to Sr. Level Career White Collar Workers Blue Collar Workers Skilled Job Seekers Unskilled Job Seekers
Other (Please Explain):
Audience Size: / 50 or Less 50-100 100-200 200 or more
Preferred Speaker Length: / 30 Min 1 Hour 1½ Hours 2 Hours 2½ Hours 3 Hours
Other (Please Explain):

PRESENTATION TOOLS and SET-UP:

Facility Presentation Tools: / Please check what you have he ability to supply:
PowerPoint Overhead Live Internet Connection Flip Chart / Markers
Speaker Podium Lapel Microphone Hand-held Microphone
Other (Please Explain):
Room Set-up: / Describe the type of room set-up you will provide?
Classroom style – Rows of tables with 2 or 3 chairs at each one, with tables arranged to face the front of the room.
Theater style – Rows of chairs facing the front of the room, usually divided by center and/or side aisles.
Conference style– Six-foot or eight-foot conference tables clustered in the center of the room to form one solid surface.
U-Shape – Six- or eight-foot conference tables placed end to end in the room to form the shape of a U.
Hollow Square – Six- or eight-foot conference tables placed in a rectangular outline with open space in the middle.
Banquet style – standard round tables

FINANCES:

Proposed Fee: / Provide budget, range or proposed honorarium.
Products: / Will you allow for products to be sold to the audience? Yes No
Payment Method: / Check Payment Online via Pay Pal?

COMMENTS:

IMPORTANT: Please save this form prior to sending it back to us. Thank You.