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LaToya C. Staten
Event Speaker Information Form
Full name
*
First & Last Name
Email
*
Phone number
*
Company name
*
Type of engagement
*
Keynote Speaker
Panelist/Moderator
Career Coaching
Workshop
Podcast Interview
Fireside chat
Impact Consulting
Talent Pipeline Management
Event Date
*
Month
/
Day
/
Year
Event Time
*
12:00pm EST
Event Location
*
City/State
Event Type
*
Please Select
In-Person
Virtual
Topic of discussion
*
Kindly provide the speaking topics and any likely questions so that we can prepare for the session
Additional details
Submit