Name of organization:

Date of engagement:

Start time and end time of Megan's presentation(s):

Contact name:

   company

   address

   work phone

   home phone (used only   

        in emergencies)

   other #’s

   email

Referred from:

General and specific location of presentation or Executive Coaching (if other than by phone):

Subject of presentation:

When you’d like me to arrive:

Attire for the event:

Audio/Visual Capabilities:

   Mike

   Flip Charts

   Overhead Projector

   Audio/Video Taping Ability

   Powerpoint

Expected audience size:

Demographics of audience:

Audience needs (your goals for them during this presentation):

Has your organization had this topic in the past:

Is the audience attending voluntarily?

What other speakers has the audience responded to well:

Anything else you’d like us to know: