Request Speaking Engagement

Thank you for your request for Dr. Jeffrey Gold to speak at your event. To aid us in scheduling this speaking engagement, please complete the following. If there are any questions that do not pertain to your event, please mark N/A and do not leave blank.

Name of Event Event Date Event Time Event Location (Venue Name, City and State)

Contact Person

Name Phone Email

Event Details

Time scheduled for Dr. Gold to begin Time allotted for Dr. Gold to speak Time allotted for Q&A Who will introduce Dr. Gold? Do you need an introductory Biosketch? Yes No Who is the audience (e.g., students, business leaders, faculty members, board members, etc.)? Number of attendees (approx) Setting for the meeting (e.g., small/large auditorium, panel, round table, etc.) Specific topic? If so, please provide program information. Named or honorary presentation? If so, please provide background on the honoree. Talking points 鈥� what specifically should Dr. Gold include in his remarks? (Please include at least 3-4 sentences in this section.) Should Dr. Gold's presentation include a PowerPoint? If so, please indicate size 4:3 or 16:9. No Yes (4:3) Yes (16:9) Would handouts be helpful/required? If so, to whom shall the handouts be sent for copying? Provide the name, email, and phone.

On the day of the event, who will be the IT contact?

Name Phone

Please note: Dr. Gold uses an Apple Mac laptop for presentations, which he will bring with him to the event. Please notify your IT department that Dr. Gold鈥檚 presentation may have an embedded video with sound, so he will need: (a) projector with cords to connect to a Mac computer and (b) speakers. If Dr. Gold is not allowed to use an Apple Mac laptop, or you need the presentation in advance, please let us know as soon as possible.

探花社区

Request for Speaking Engagement

Contact Person

Event Details

On the day of the event, who will be the IT contact?

COOKIE USAGE: