Speaker Request Form

*Date of Event
*Name of church or organization
*Name of person filling out this form
Relationship (title) to above organization
*Email address for contact person
Contact Person (if different from above)
*Address
*City *State *Zip
*Phone Wk ( ) - Cell ( ) -
Home ( ) - Fax ( ) -
Where is this Event Being Held?
*Name of Venue
Address
City State Zip
What type of event is this? (Retreat, women's event, college, youth, etc.)
If the event is youth or college, will it be co-ed or all girls? coed all girls
Will this be promoted as a community wide event? yes no
Has the event (as well as Vicki's role in the event) been approved and confirmed with the staff of your organization? yes no
How many are you expecting to attend, and what is the age demographic?
What is the make up of the crowd? (Estimated percentage of believers, seekers, etc.)
Have you had this event in the past, if yes how many were in attendance?
Will there be a concert or other components included in your events? If so please list.
Will additional keynote speakers be involved? If so please list.
Do you have a budgeted honorarium? If yes, please state here. Are travel expenses included in that or separate?
Will there be a prayer team for this event ? yes no
Is there an airport in the event's city? If not, how far is the closest airport?
Can Vicki bring here books to sell at this event ? yes no
What is the start time of the event ? Date: / / Time:
What is the end time of the event ? Date: / / Time:
How many sessions would you like Vicki to speak?
Which topics from the "Vicki's Available Speaking Topics" are you interested in?
What is the overall goal you hope to accomplish at this event?
Has your church/organization done any of Vicki's Bible Studies? Please check all that apply.
Virtuous Reality
Get a Life
Virtuous Woman
Your Girl
None of the above
Has your church/organization participated in any of Virtuous Reality Ministries sponsered events? Please check all that apply.
Yada Yada
Yada Yada Junior
College/Single Women
None of the above
How did you hear about Vicki Courtney?
Note: Many organizations request a phone conference with Vicki to discuss event details prior to the event. Due to Vicki’s busy writing and speaking schedule and her desire to prioritize family, she is unable to do phone conferences prior to an event. If you have specific questions for Vicki regarding her messages, commitment time, worship choruses, suggested event themes, etc…, please email them to Shawna Peterson at shawna@virtuousreality.com and Vicki will do her best to answer any questions. Thank you for your understanding.
For any questions regarding this profile or Vicki's speaking calendar, please
contact Shawna Peterson at 512-527-9500 or shawna@virtuousreality.com

Vicki's current speaking calendar can be viewed at:
www.vickicourtney.com

Vicki's messages may not be audio or video taped or broadcasted with out written
permission prior to this event.


 
powered by sov·ren·ti
visit virtuousreality.com Join Vicki's email list Answers to Frequently Asked Questions Click here to Contact Us