GLENN McCLUREeco-musician, composer, speaker, global traveler

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Speaking Engagement Booking Information

Speaking Engagement Booking Information

Please fill out the form to request a speaking engagement. It will take approximately 10-15 minutes, and gathers information about your event. We will contact you after submission with hiring details and fee information.

Step 1 of 5

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Name*
First Last
Email*
Phone*
Your Organization*
Website or Social Media Link of your Event

Event Information
Event Type*
Your Goals for this Event*
Briefly describe what you hope to accomplish with this event
Date of Event*
MM slash DD slash YYYY
Time*

: Hours

Minutes

AM/PM
Location of Event*

Audience and Topic
Your Organization’s Audience*
Other Audience
Your Audience
What makes your audience unique? What do you want them to learn?
Topics
Choose a topic and give a little more information about the focus of your organization/event. Choose all that apply.
- Science/Art Collaboration
- Musicians/Artists and Social Change: Environment and Democracy
- Musicians/Artists and Entrepreneurship
- Global Citizenship: Lessons from Travel/Study Abroad
- Creativity and Innovation in Leadership
- Disability and Music/Arts
- Perennialism and Music/ Arts
- STEM to STEAM- Science Education inspired by the Arts
Additional Topic Information

Booking Details
Event Location*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Preferred Date*
MM slash DD slash YYYY
Preferred Time*

: Hours

Minutes

AM/PM
Add Alternate Date/Time?
- Add Alternate Date/Time?
Alternate Date
MM slash DD slash YYYY
Alternate Time

: Hours

Minutes

AM/PM

Venue Information
Venue
Length of Talk
Add approximate speaking time
Audience Size
Are LCD projector and speakers that attach a laptop available in the venue?
- Yes
- No
Additional Information
Describe any additional talks/appearances (eg. workshop, media interviews: print, television, radio, social media)

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