Teaching & Retreat Inquiry Form Teaching & Retreat Inquiries Booking & Media Request Form 1 Who You Are Your Full Name Your Email Address Confirm Email Who are you making this request on behalf of? Select an option Self Organization Podcast Media Outlet Name of Group, Business, or Podcast Website / Social Media Link Where can we learn more about you/your organization? 2 The Request What type of engagement is this for? Select an option Keynote Address / Speaking Engagement Workshop or Talk (under 3 hours) Teaching Daylong or Retreat Podcast or Radio Interview Print / Digital Media Interview Private Training or Corporate Workshop Book Endorsement or Blurb Other Title of the Event, Podcast, or Book Leave blank if not applicable to your request If this is a book-related request, please share the publisher and publication date 3 Logistics & Timeline What is your desired date or timeframe for this event/interview? Location Format Virtual In Person (NY state or Northeast US easiest) Venue Details Only required if selecting "In Person" Estimated Number of Attendees 4 Content & Alignment Briefly describe the topic, core themes, focus, and/or goal of this request Who is the intended audience for this? How do you see this request as aligned with our work and teachings? 5 Budget & Compensation Is there dana, a stipend, honorarium, or speaker fee budget for this engagement? Yes No Other If yes, please share your intended amount or available budget Required if "Yes" is selected above For in-person events, are travel and accommodation expenses covered? Select an option Both travel & accommodation Travel only Accommodation only Neither Partial coverage 6 Follow-Up Secondary Point of Contact When do you need a response by? Is there anything else you'd like to share that wasn't covered? Thank you for your interest. We review all inquiries carefully and will respond within the timeline you've indicated. Please note that not all requests can be accommodated, and we prioritize work that aligns with our current teaching focus and schedule. Clear Form Submit Request