CEO Speaking Request Form
Thank you for inviting President and CEO Charlie Davis to speak at your event or meeting; please complete and submit this request at least four weeks prior to the engagement. Requests are reviewed weekly and responded to as CEO availability is determined. The more information you provide, the better we'll be able to determine CEO availability. Please note that not all requests can be accommodated.
First and last name
Name of event:
Event start and end time:
Full address, please
Topic/theme/purpose of event:
Expected audience size:
Would you like the CEO's simple bio or a photograph for print materials?
Will a meal be served?
Meet and greet
Length of speaking/presentation time:
Welcoming remarks (3-5 minutes)
Short remarks (6-10 minutes)
Full speech (11-20 minutes)
Major address (21+ minutes)
Additional time for Q&A
CEO speaking/presentation start and end time:
Time requested for CEO participation should be as accurate as possible as he often has multiple events in one day. If your event/meeting schedule changes after submitting this request, please notify the CEO's office as soon as possible.
Would you like CEO to attend entire event/meeting or will he be excused?
Excused after speaking/presenting
Please attend entire event/meeting
Are there people in the audience who should be recognized and/or thanked?
If so, please provide name(s), title(s), and reason(s):
Are there any other speakers at this event/meeting?
If so, please provide name(s) and title(s):
If CEO is unable to attend your event/meeting, would you like us to recommend an alternate speaker?
What type of equipment is being used at this event/meeting?
Other details regarding available equipment:
If a microphone is recommended due to size of venue, CEO is best served using a lavaliere.
Do you expect any media to attend?
If yes, please provide more detail:
Will this event be recorded and made available to others?
If yes, how will the footage be shared?
Comments or additional information:
Should be Empty: