Speaking Request Form

Speaking Request FormWilma Hollis2023-04-24T18:38:29+00:00

With a mission to empower, Wilma is able to cover a wide range of podcast, interview, and written topics including: LifeSpeaking, motherhood, business, and faith. Read more about Wilma here.

If you’d like to connect for an interview, partnership, product sponsorship or collaboration, we’d love to hear from you by submitting via the form below!

Name *

First

Last

Phone Number *

Email *

Organization Name

Organization Website

Event Description *

Event Host *

Event Website (If Applicable)

What is the purpose and desired outcome of this event? *

Event Location *

In-Person
Virtual

In-Person Event Location

Virtual Event Platform

(i.e., Zoom, Facebook Live, Instagram Live)

Event Date and Time *

(Please include your time zone)

Event Type *

Conference
Emceeing
Seminar
Panel
Workshop
Other

If "other", please specify

Expected Audience Size *

0-50
51-250
251-500
501-1000

Keynote Topic Choice *

If "other", please specify what topic you'd like to request for Wilma to speak on.

Estimated Speaker Budget *

Note: For in-person events outside of the Detroit area, additionally, please consider Wilma's required air and/or ground travel, and lodging expenses for the duration of the event.

How did you find out about Wilma? *

What do you hope Wilma will add to your event? *

Please share any additional information about your event that you deem helpful.

Please note: While we review all requests, we are unable to reply to every opportunity. Thank you for your interest!

Speaking Request Form

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