TRAININGS + WORKSHOPS Name: * First Name Last Name Requesting Organisation: Role: Email: * Phone (###) ### #### Name of Conference or event: * Event Location: Address 1 Address 2 City State/Province Zip/Postal Code Country Event Date: MM DD YYYY Event Type: In-person Pre-recorded Virtual Other Organisation or event website: Overall purpose of the event: Estimated number of attendees: Describe Your Audience: (i.e. age, expertise, business people, students, pastors, etc.?) How many sessions are you wanting Daniel to be at? Include number of sessions and length of each session Dates and times of requested main sessions: Budget Available Are you able to provide reimbursement for flights, hotel, and ground transportation (Rental Car or Car Service/Pick Up) Yes No Thank you!