Pease complete this information to assist Bill in preparing for his presentation with your organization. His office should receive this information a minimum of four weeks prior to the meeting date. After Bill’s review, his office will schedule a tele-conference meeting to discuss it further with the conference team. Thank you for your cooperation with this!
- Name of Person completing this form:
- Phone Number:
- Email:
- Theme of this event
- Identify company(s)/organizations in attendance:
- Audience: [ ] Local [ ] Regional [ ] U.S. Based [ ] Internationall
- Provide a general work related description of the make-up of the audience.
- Approximate number of attendees expected:
- Approximate percentage of men/women expected:
- % Men:
- % Women:
- Approximate number of attendes within the age ranges:
- Under 30:
- 30-45:
- 45-60:
- Over 60:
- Will spouses/life partners be in attendance? Yes / No
- Identify CEO/President/VIP’s in attendance.
- What is your organization’s mission statement or company philosophy?
- What is your organization’s vision statement
- What is the primary business function of this group?
- Why has this group assembled at this location at this time?
- Identify accomplishment(s) the group has recently achieved:
- What are the professional challenges facing the individuals in the audience?
- What are the significant challenges currently being faced by your industry?
- Describe the most significant changes this group has experienced during the last twelve months.
- Provide the specific objectives you desire from my presentation.
- What is the thrust or message you would like to convey to the group?
- Identify any sensitive issues you wish Bill Gormont’s presentation to avoid:
- When Bill Gormont leaves your special event, you will feel he has achieved your goal if he has . . .
- Identify other speakers presenting at this event:
- What takes place immediately before and after my program (break, meal, breakout session, another speaker)?
- Before:
- After:
- Name of person introducing Bill:
- Title:
- Identify a web site I may visit for further reference work:
- Identify the individual from your organization who can schedule your committee staff for the teleconference review.
- Name:
- Phone Number:
- Email:
- Identify any other items of interest you feel may be appropriate to share that could help make this a meaningful event.
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