Minnesota Day One Crisis Hotline

Request a Speaker

Your Name (required)


Your Email (required)

Date of Your Event

Type of Event

Location of Event (Please be as specific as possible.)

What time is the speaker needed and for what duration?

How many people do you expect will be in attendance?

Who is your target audience?

Do you have a specific topic or speaker in mind? If your requested speaker is already booked, are you interested in one of our other staff? (Please see our list of training topics and speaker options or request a copy for review.)

Are there other speakers invited to speak at this event? If so, who?

What is your budget for a speaking/training honorarium/fee for this event? (Fees depend on the type of presentation/training requested, number of attendees, and/or location.)

Do you have A/V available? (Please specify if you have Power Point and/or DVD capabilities.)

How did you hear about Cornerstone?

Anything additional information you'd like us to know?