Request Questionnaire and Agreement to Engage

Sharon Sarles Seminars

Organizational Strategies

 

REQUEST QUESTIONNAIRE

 

 

Sharon would like to meet your specific needs with her presentation. Please take a few moments to help do this. We have filled out any answers we could answer. Please check these and make additions. When you send this form back to us, please include any information about your group that might help Sharon understand you needs, your goals, and your hopes for your group.

 

Please return to Sharon Sarles Seminars no later than ______. If you have any questions, please call us at ___________.

 

Presentation title__________________________________________ Date___________

 

Start time ___________________ end time __________________

 

Breaks________________________________________________________

 

What kind of event are you planning?

 

 

Tell us about your people?

 

 

Are they looking for fun? For hard-hitting content? To get work/change accomplished?

 

 

 

What goal are you reaching for with this event?

 

 

With this presentation?

 

 

What kind of change would you like to see?

 

 

 

Has there been any scientific research on the problem? Is it available?

 

 

 

 

 

Have alternative strategies been considered?

Sharon can plan with you so that your training event will have true and lasting impact.

 

 

 

What sensitive issues should be avoided?

 

 

 

 

 

 

Introducer’s name, title, and phone number:

 

 

 

What is on the program just before Sharon speaks?

 

 

What is to happen just after Sharon’s presentation?

 

 

Who are the other speakers on the program?

Speaker Topic

 

 

 

 

 

If earlier speakers overrun their allotted time, would you prefer that Sharon get you back on track or that she present all that was planned for her time allotment?

 

 

 

What speakers have you used in the past who covered topics related to material Sharon will be presenting for you?

 

 

 

What did you like or dislike about these presentations?

 

 

 

 

 

 

What would make Sharon’s presentation really “special” for your group?

 

Sharon Sarles Seminars

Organizational Strategies

 

INVOICE FOR PAYMENT AND AGREEMENT TO ENGAGE

 

 

Please fill this form out and return to Sharon Sarles Seminars.

Sharon Sarles is engaged as a speaker for

 

Group

 

Address

 

Telephone

 

Person in charge

 

Event:

 

 

Theme of event:

 

Date(s) of engagement:

 

Location of engagement:

 

Time and duration of presentation:

 

The audience is:

 

 

 

 

___________________________________ agrees to pay the following fees and expenses:

 

Speaking fee:

 

Expenses:

Transportation

Housing

Meals

Copying of handouts

Other

 

 

 

A non-refundable deposit of _______________ is required to secure this date. The balance of ___________ is payable by ________________. Because of the potential loss of income to the speaker, cancellation of this date less than 90 days before event will carry a penalty of __________ in addition to the deposit, plus all expenses incurred by the speaker in preparing for this date.

 

SPECIAL ARRANGEMENTS?

 

 

PRACTICAL ARRANGEMENTS

 

You speaker needs to be available in a timely and refreshed manner for your group.

 

Speaker will be staying at

 

 

 

Telephone number

 

 

Speaker will be transported from airport by

 

 

Speaker will be transported to meeting site by

 

 

How long does it take to get from airport or hotel to meeting site?

 

 

If questions should arise, speaker should contact

 

 

Alternate contact

 

 

Recording must be arranged in advanced with speaker.

 

 

Signed____________________________________________Date_________

 

Title__________________________________________________________

 

Organization____________________________________________________

 

 

Sharon Sarles Seminars

 

 

 

INVESTMENT SCHEDULE

for CDCs and RE/CE Departments

2009

 

 

One hour $80

Breakfast, luncheon or 1 hour keynote $250

Up to four hours 250

Up to full-day seminar 400

Participation in a panel for informal discussion 75

Facilitation per hour 200

 

 

Sharon customizes every seminar for each group. However, she also offers newly designed seminars, completely tailor-made for a particular group. The price for these is generally double that for existing seminars.

 

 

Original research, quantitative or qualitative $250/day

or $30.00/hour

Consultations

with individual $ 60/ hr

with group 200/hr

 

When an engagement is arranged, a deposit of 25% is required to hold requested time slot.

 

Do you need any other programs for your event? If any of Sharon’s other topics are appropriate for another slot, she offers the second or third presentation at the same event for half price! Of course you save on transportation and hotel costs too.

 

Sharon will pro-rate travel expenses if she is already in your area on another speaking engagement.

 

We also offer training materials and recordings. Please inquire.

 


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