2. LOGISTICS AND SCHEDULE
(a) Presentation Date:
(b) Name and address of event Venue:
The Venue:
Address:
Phone:
(c) The exact time, length and location of Lorraine's presentation:
Time:
Length:
Room:
(d) Who will be introducing Lorraine?
Name:
Title:
Tel:
E-mail address:
(e) What is the nature of the meeting (annual awards, incentive, training)
(f) Where is Lorraine's presentation positioned in the event program?
(g) Will there be a reception prior to Lorraine's presentation?
Yes:
No:
(h) What is the attire for Lorraine's presentation?
Business:
Business
casual:
Casual:
Other (please specify):
3.
PROGRAM GOALS/OBJECTIVES
(a) Title of event:
(b) Theme of event:
(c) Lorraine's presentation topic:
(d) What three main goals do you want Lorraine's presentation to
achieve?:
(e) What other issues or objectives do you want Lorraine to
address?:
(f) What issues do you want Lorraine to avoid?:
(g) Please list the other speakers who will be presenting at your
event:
1. Name:
Topic:
2. Name:
Topic:
3. Name:
Topic:
(h) What speakers has your audience heard in the past?
1. Name:
Topic:
2. Name:
Topic:
3. Name:
Topic:
(i) What did your audiences appreciate most about past speakers?
(j) What did your audiences least appreciate about past speakers?
4. YOUR AUDIENCE:
(a) How many attendees are expected?:
Spouses
invited?
Yes:
No:
(b) Who will attend?
Administration:
Operations:
Management:
Sales:
Other (please specify):
(c) What is level of attendees? (Executive, Middle-Management,
Support)
(d) Ratio of attendees:
%
Male:
%
Female:
Age Range:
(e) What areas do they represent? (Local, Regional, National,
International)
(f) Do they know each other well?
Yes:
No:
Is this group open to audience/speaker interaction?
Yes:
No:
5. YOUR COMPANY/ORGANIZATION BACKGROUND
(a) List up to three main changes that your company/organization has
experienced in the past year:
(b) List the main achievements that your company/organization has experienced in the past year?
(c) What are the main challenges presently facing your company/organization?
(d) What internal terminology would be helpful to Lorraine?: (acronyms, brands, titles)
(e) Provide Lorraine with three additional contacts who best represent the attendees.
6. TECHNICAL SUPPORT
(a) Name of On-site A/V company:
(b) Contact:
(c) Phone:
(d) Email:
(e) Audio/Visual Requirements:
Please Note: Lorraine does not use a podium and utilizes the full stage area
wireless lapel microphone wireless hand-held microphone data projector for PowerPoint presentation small table off to the side water on the small table screen monitor at foot of the stage for audiences over 300
(f) What is the room set up? (theatre, classroom, horseshoe, round tables, etc.)
(g) Will
there be a stage or riser?
Yes:
No:
(h) When will the meeting room be available for an A/V check? Date & Time:
(i) Will IMAG be used? (image magnification).
Yes:
No:
(j) Do you plan to video tape Lorraine's presentation?
Yes:
No:
(k) Lorraine is the author of two books: shortstuff , an illustrated book about self esteem and uniqueness, and Spotlight on Presentations , a practical handbook for presentation excellence.
Yes:
No:
7. HOTEL AND TRAVEL
Please Note : Lorraine requires a non-smoking room
(a) Who is responsible for making Lorraine's hotel reservation?
Name:
Tel:
E-mail:
(b) What is Lorraine's hotel reservation number?
(c) Is the accommodation at the same location as the meeting?If not , please provide name address and telephone number of hotel:
(d) Who should Lorraine contact upon arrival?
Contact Tel:
Flight Information
(e) Who is responsible for making Lorraine's travel arrangements?
Name:
Tel:
E-mail:
(f) What is Lorraine's flight reservation number?
(g) How will the ticket be issued to Lorraine?
Emergency numbers
(h) In case of an emergency, who should Lorraine contact?
Name:
Tel:
(i) What is the name of the airport where the event is taking place?
(j) What is the distance to the hotel in kilometers/miles and time?
(k) Will you be arranging Lorraine's car transfer from the airport to the meeting location?
Yes:
No:
8. EVENT MATERIALS AND LOGOS
Required Material: to be forwarded at least 2 weeks before the event
Event program and promotional materials Graphics of your company and event logo with permission allowing Lorraine to use the logos on her customized slides and handout material Optional Requests: Your latest newsletter or magazine Organization or company information package including mission statements, core competencies, values, projects, etc.
This form was completed by: if different from questions #1 Contact information
Name:
Title:
Tel:
E-mail:
Thank you for your time and contribution to help make this a successful event.
