What is the date and time of your
event
City & site of event / meeting:
What is your organization and/or
type of business?
Please describe your audience?
(examples: gender, age, professions, etc.)
What will be the
approximate size
of your audience?
Under
30
30-50
50-100
100-200
200-300
300-500
500-1,000
1,000-4,000
4,000+
How many programs will you have?
How many speakers will you have?
Length of presentation(s)?
(examples: 60 minute keynote, half day seminar,
etc.)
What is/are the speaking event
format(s)?
Keynote
Training
Hands-On Workshop
Seminar
Closing
Session
Field
Day
Scholar/Academic
Publicity/General
Appearance
Entertainment
If you have been referred to POSB
by a group or association, please enter its name
here.
Group Name:
Describe Your
Ideal Speaker(s)
List of
specific
POSB speaker(s)
you are interested in booking:
Who spoke at your meeting last
time/year?
What did you
like and/or not like
about your last speaker?
What is your
budget range
for the ideal speaker?
Under
$1,000
$1,000-2,500
$2,500
– 5,000
$5,000
- 10,000
$10,000-
15,000
$15,000-
20,000
$20,000-
25,000
$25,000-
35,000
$35,000-
50,000
$50,000+
What
effect/ impact
do you want the speaker(s) to have
on your audience?
(examples: educational, inspirational,
entertaining, etc.)
What
qualities
are you looking for
in a speaker?
Informational
Humorous
Tools
& Techniques
Entertaining
Current
Events
Lecturing
Case
Study
What is
most important
about the speaker
you need?
What qualities
are you
*not*
looking for in a
speaker?
What type of speaker are you
most interested in?
Author/Writer/Editor
TV/Radio
Personality
Industry
Expert/Leader
Motivator
Political/Advocate Special
Skill
Celebrity/Recognition
(speakers in this category usually command a
higher fee)
What is the
theme of your event
and describe the
issues related to
your event that the speaker will need to
address?
Please list any
additional objectives or
needs: