Thank you for your interest! Please complete and submit this form to request

Hey Auntie! Founder Nicole E. Kenney, MPP’s participation at your upcoming event.

Name

First Name

Last Name

Organization/Company

Phone

(###)

###

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Proposed Day

Proposed Time

Topic

Event Description

Virtual or In Person

Allotted Speaking Time

Type of Speaking Engagement

(e.g. Lecture, Panel, Classroom Visit, Fireside Chat)

Honorarium/Speaker's Fee