Tell Me About Your Event

Please let me know more about how you’d like to engage via the intake form on the right.

For the list of topics I can speak about, please visit the link below.

Topics

Contact Name

First Name

Last Name

What is the event or engagement?

Who (which org.) is the host?

Contact Person's Email

What is the starting date you have in mind? (If known)

MM

DD

YYYY

What is the closing date or alternative date? (if known)

MM

DD

YYYY

Venue

Virutal

In Person

More details on location or event (if known)

Starting Time (If known)

Hour

Minute

Second

Ending Time (If known)

Hour

Minute

Second

Est. Number of Attendees

Envisioned Role for Zayna

i.e., what do you want the audience to know/think/feel/do as a result of my participation?

Please Describe the Intended Format

i.e, time expected for presentation, structured or open Q&A, slides, projector, stage, etc.

Budget Range

Please confirm honorarium / professional fees for my time for prep and participation. Also confirm that travel and accommodation is to be covered by the host.

Please include any other relevant details