Event Request

I’d love to join you for your event!

Please submit all of the details of your event request below. (Note: Only a representative capable of making contract decisions for your organization should complete this form.) Please do not use this form for submitting media/interview requests. Download Jess’s Speaker Sheet for more information about her platform and past events.

Contact Information

Event Information

(How many people do you expect at this event, and what demographics make up your audience?)
(Please list all possible options for us to consider.)
Time of Event*
In what capacity would Jess participate in your event?*
(Please select all that apply.)
Please provide an estimate of your organization's budget for the speaker's honorarium and travel expenses
(Are there any other details we should know about your organization or event?)

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