book Chris Scott 1. Contact Information Full Name Organization/Company Name Job Title 2. Event Details Event Name/Title Event Date(s) Include alternative dates if flexible Event Start Time Event End Time Event Location (Venue name, city, state, virtual link if applicable) Is this an in-person, virtual, or hybrid event? In-Person Virtual Hybrid 3. Type of Engagement (Select all that apply) TV Interview Podcast Panel Discussion Keynote Speech Workshop Full-Day Seminar Other 4. Audience & Attendance Primary Audience Type (Select all that apply) College Students Corporate Professionals Entrepreneurs/Business Owners Community Leaders Educators General Public Other 5. Speaking Topic & Presentation Details Which topics would you like Christopher E. Scott to cover? Leadership Mindset STEM Career Development Other Requested Presentation Length 30 minutes 60 minutes 90 minutes 2 hours 4+ hours (Full-Day Seminar) Will there be a Q&A session? (Yes/No) Yes No 7. Budget Do you have a budget for this speaking engagement? (Yes/No) Yes No Will travel and accommodation be covered if applicable? (Yes/No/N/A) Yes No N/A Are you requesting books or materials for attendees? (Yes/No/N/A) Yes No N/A 8. Additional Notes & Special Requests 9. Confirmation & Agreement I acknowledge that submitting this form does not confirm booking. A representative will follow up to finalize details. I agree to the terms and conditions of booking Christopher E. Scott for this event. SUBMIT
