Speaker Request - Jeanne Stevens

Speaker Request Form

Jeanne loves having the opportunity to speak and teach.
Please share a little about your request here and someone from Jeanne’s team will be back with you soon!

Name of Church/Organization

Primary Contact

Primary Contact Full Name

Primary Contact Phone

Primary Contact Email

Secondary Contact

Secondary Contact Full Name

Secondary Contact Phone

Secondary Contact Email

Travel Information

Closest Airport to Venue

Driving Distance from Airport to Venue/Hotel

Event Information

Event Name

Event Website

Is this event:

Is this event digital or in person?

Digital In Person Both

Start Date

End Date

Venue Name/Physical

Event Schedule and Duration of Sessions

For Jeanne:

Please provide an overview of the topic/s about which you would like Jeanne to speak

Please provide some information about the audience, spiritual climate, and demographic make-up of the event attendees

Which of the below would your event budget be able to accommodate (please check all that apply)?
^{Note: Jeanne's standard honorarium is $1,500 per message.}

Which of the below would your event budget be able to accommodate (please check all that apply)?

An Honorarium Travel Expenses Hotel or Other appropriate accommodations Reimbursement for Meals during travel and event