Speaking Engagement
Request Form

Name *

First

Last

Title/Position *

Email a Educational

Email *

Phone *

Email *

Address Line 1 *

Address Line 2

City *

State *

Zip *

If you are requesting an author visit, what type of visit would you like? *

Virtual Author Visit with Read Aloud (Children's Books)
In person Author Visit with Read Aloud (Children's Books)
Virtual Author Visit (Adult book for Women)
In person Author Visit (Adult book for Women)

***Author visits can be held virtually or in person. Please note that book purchases are required for all visits, and a separate fee applies. Select your preferred visit type below.***

Which book(s) are you interested in me reading?

Is there a specific date and time you are requesting? *

What is your budget for this request? *

What additional questions or concerns do you have? *

How did you hear about Dr. Sheila Thomas and Thomas Educational Consulting and Training? *

Speaking EngagementRequest Form

Speaking Engagement
Request Form