Speaker Request Form: Shawnessa Devonish LCPC, NCC
Shawnessa Devonish LCPC, NCC is available as a Television Appearance, Panelist, Speaker, Workshop Leader, Interviewee, and Podcast Guest. She is well-versed in the in mental health topics. Please complete the form below if you are interested in booking:
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Name
First Name
Last Name
Email
example@example.com
Company / Organization Name:
Phone Number
Please enter a valid phone number.
Name of Event:
Date of Event:
Time of Event:
Address/ Location of Event:
Type of Event (ex: Brunch, Workshop, Conference):
Will the event be:
In Person
Virtual
Expected Number of Attendees:
Media: Will the media be invited? If so, please provide the media list:
How would you like for Shawnessa to contribute to your event?
Speaker (30 Minutes)
Workshop Leader
Panelist
Podcast Speaker
Presenter
Interview
Television Appearance
How long will you need Shawnessa to speak?
What is your Speaker Budget?
Please list any Event Sponsors:
What Presentation or Speaking Topics do you prefer? (ex: Mental Health)
Will Shawnessa be allowed to promote any of her products/services?
Will travel accommodations be needed?* Please keep in mind Shawnessa is located in Maryland.
Deadline for Acceptance (Please provide the exact date):
How did you hear about Shawnessa?
Any additional information you would like Shawnessa to know or consider?
Submit
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