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Work with Dr. Ruby Gibson: Service Request

Thank you for your interest in collaborating! Please use this form to provide details about your upcoming event or educational needs. Whether you are looking for a keynote address, a specialized class, or a workshop, your answers below will help us determine the best way to support your goals.

To help us understand your vision, please click the button below to begin your inquiry.

Start

Question 1 of 7

What type of engagement are you interested in?

A

Keynote Presentation

B

Workshop / Interactive Session

C

Online Class / Webinar

D

Consultation / Advisory

E

Other

Question 2 of 7

When is the event? Please provide a specific date or your preferred timeframe (e.g., Fall 2024).

Question 3 of 7

What is the format of this event?

A

In-Person

B

Virtual (Live)

C

Pre-recorded

D

Hybrid

Question 4 of 7

Who is the intended audience and what is the estimated number of attendees?

Question 5 of 7

What is the primary theme of your event, and what is the #1 takeaway you want your audience to have?

Question 6 of 7

Do you have an established budget or speaker fee for this engagement?

A

Under $2,500

B

$2,500 - $5,000

C

$5,000 - $10,000

D

$10,000+

E

Budget is currently being finalized

Question 7 of 7

Contact Information & Additional Details

Please provide the following so we can reach out to discuss your request:

  • Full Name

  • Company or Organization

  • Phone Number

  • Email Address

  • Additional Notes: Any specific details or special requests we should know?

Confirm and Submit