Speaking Engagement

Request Form

Use this form if you’re interested in having me speak at your event—whether it’s a panel, workshop, class visit, or anything in between. I’m passionate about sharing my journey through pharmacy, the fellowship process, and my transition into medical affairs. Whether your audience is curious about pharmacy school, exploring industry roles, or just wants real, relatable insight—I’d love to be a part of the conversation. If you're unsure whether your event fits, feel free to reach out anyway!

Name

First Name

Last Name

Organization Name

First Name

Last Name

Event Name & Theme (if applicable)

Type of Engagement

Panel Discussion

Keynote Speaker

Workshop

Q&A Session

Other

Location

(in-person or virtual, include link/address)

Preferred Date & Time of Service

YYYY

Audience Type

(students, professionals, general public, etc.)

Audience Size

expected number of attendees

What topics would you like me to speak on?

Will this be a paid engagement?

Yes

TBD

Anything else I should know?