Diane Ingram

Empowering You to Actualize Your Purposeful Potential

Engagement Information Form

    Client:

    Contact Person's Name

    Contact Person's Email

    Presentation Date and Time:

    Presentation Location:

    Emergency Contact Number:

    Is there a meeting theme?

    How many and who will be attending?

    What % Women, % Men?

    Approximate age groups?

    Is attendance mandatory, or voluntary?

    Do you want the presentation to be interactive? What percentage?

    What are the top 3 outcomes you would like achieved?


    What are the challenges your organization is facing?

    What causes the audience members the most concern?

    Do I have permission to email a few audience members prior to ask them: 1)What's the biggest challenge you are facing on the job? 2) If you could change just one thing tomorrow, what would it be? 3) What advice would you give to a new person in your position?

    Please provide name and email address of 3-5 audience members to contact.


    What else do I need to know to serve your audience?

    Clients are often interested in providing a learning resource or gift to attendees to extend the value of my presentation. Would you be interested in discussing this option?
    YesNo

     

    I publish a bi-monthly newsletter on empowerment topics. In this 5-minute read, I provides insight and inspiration, and draw valuable lessons for us all.

    To subscribe your group, simply send a list of email addresses to dei@dianeingram.com with subscribe in the subject line. Subscriptions are free and you can unsubscribe at any time. I adhere to a strict privacy policy. Subscribers can also go to www.dianeingram.com to sign up.

    Please feel free to create links from your website to www.dianeingram.com if you’d like to introduce your group to Diane prior to her presentation.

    Thank you for helping me make this presentation even more successful!