Speaker Request Form

***Please note, this form must be completed and submitted. The Ladybug Foundation will contact you within 5 business days upon submission***

*(denotes required field)

Name: *

E-Mail Address: *

Type & Name of Organization: *

Event: *

Date Requested: *

Are your dates flexible?

Yes
No

Location:

Contact Name: *

Phone Number: *

Preferred method of communication: *

Email
Phone

Is this event a fundraiser? *

Yes
No

Type of fundraiser?

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For Schools Only:

Please describe what level of knowledge students have about hunger, homelessness and poverty.

Please indicate the activities / events your school has initiated through your use of makeChange: The Ladybug Foundation Education Program.

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Would you be open to someone other than Hannah Taylor

CAPTCHA Code: *

Financial Requirements:

Hannah Taylor, along with everyone involved with The Ladybug Foundation Inc., is a volunteer. Therefore Hannah never asks for a speaker’s fee.

However, a donation can be made to The Ladybug Foundation Inc., and Hannah gratefully accepts those efforts.

As a charitable organization, we do require that all travel costs and food is taken care of, for Hannah and an adult travel companion.

Technical Requirements:

• microphone, podium,
• audio/visual system that can play a video with a good audiosystem.

Thank you for asking Hannah to speak. We do our best to accommodate everyone’s request!