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* Company Name: |
A company name is required. |
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* Name of person filling in this form: |
A name is required. |
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* Phone number: |
A phone number is required. |
Email Address |
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Website |
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| General Information about Your Company |
| What is your mission statement? |
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What gives your company its competitive edge? What is the company’s greatest strength? How is your team unique? |
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Do you have a major competitor?
If so, who is it? |
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What are the biggest challenges/problems facing your company today? |
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| Are these challenges specific to your company or to the industry as a whole? |
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Has your company experienced any major events in the past year? (Examples would be mergers, new legislation, layoff, reorganizations, etc.) |
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| Event Presentation |
| Please name three things you would like the attendees of my presentation to walk away with? |
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Are there any issues or topics to avoid during my presentation? |
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| Are there any issues or topics you would like me to address specifically? |
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| Are there any subjects or negative concepts in your industry/company that should be avoided? |
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| What is the theme for the event? |
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| What is the overall message for this event? |
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Are there any acronyms, jargon or other terms used specifically at your company that might be appropriate for incorporation? |
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| Audience Demographics |
Approximate number of attendees? |
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Specify, if possible, the number of male to female ratio, level of professions (executive, managerial, administrative), average age, number of years with company, etc. |
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| Please describe your group or team: |
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For fun: Describe a funny event, story or congenial type person that could be used in the session. |
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For recognition: Is there an individual that could be cited for recognition; perhaps someone who has received a recent award? |
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| Please describe the average day of an audience member; one that best represents the group as a whole. |
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Other Helpful Things to Know |
Have you had other speakers in the past at your events? If so, what did you like/dislike about that speaker? |
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Is this a mandatory or voluntary event for the attendees? |
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| Are there any company newsletters, reports, org. charts or promotional materials you would like me to read prior to the event? If so, who can provide me with those materials? |
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Finally,
What have I forgotten to ask, but should know prior to your event? |
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Comments: |
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