Speaker Inquiry Form — Niccole Hendrickson

Thank you for your interest in bringing Niccole to your event! Please complete this brief form so we can explore the opportunity together.

Name

First Name

Last Name

Organization / Company:

Phone

(###)

###

####

Website / Social Links (if applicable):

Event Details

Event Name:

Event Date

YYYY

Event Location (City, State, or Virtual):

Estimated Audience Size:

Audience Type (ex. corporate leaders, entrepreneurs, women’s leadership, etc.)

Desired Speaking Format (keynote, workshop, panel, fireside chat, etc.)

What topic(s) are you most interested in having Niccole speak on?

Reigniting Personal Leadership

Resilience Through Setbacks

Leading with Relentless Purpose

Burnout Recovery & Nervous System Resilience

Entrepreneurship & Building Sparked Vision™

Other:

What is the primary goal or message you want your audience to walk away with?

Do you have a budget allocated for speaker fees?

Yes

TBD

Any additional details you’d like to share?

The Fire Starter Pack