Speaking Invitation Interest Application Form

Invite Coach Kikelola to Speak at Your Event

Event Name

Event Date

Event Type

Location of Event (In-Person)

Event Description

Other (Please specify)

What topic(s) would you like Coach Kikelola to address?

Host Organization

Amount (CAD$)

Honorarium Budget (CAD$)

Please note that the honorarium budget covers the time and preparation needed to fulfill the requested participation, as well as time required to travel to and attend your event (if applicable). It does not include cost for travel, lodging and ground transportation.

Name of Event Planner

Phone

By submitting this invitation, we agree that (if applicable) travel, lodging, and ground transportation will be provided in addition the honorarium being offered*

Yes

Coach Kikelola's team will review your application and within 3 business days and you will be invited to connect with Coach Kikelola to discuss more about your event.