Application for Lunch and Learns

Please complete and submit the form below to request Sandy Weiner to present Lunch and Learns to your organization. Due to scheduling constraints, we typically will not be able to accommodate requests less than 1 month or more than 6 months in advance. Thanks so much for your interest.

Section One
Contact info
Name*
First Last
Company/Organization*
Title*
Phone Number*
Email Address*
Website URL:*
Section Two
Scheduling
Will the Lunch and Learns be presented virtually?*
- Yes
- No
If no, fill out the location below:
Street Address Address Line 2 City State / Province / Region Country
Start date of Lunch and Learns*
Month
Day
Year
End date of Lunch and Learns*
Month
Day
Year
Information about your organization*
Number of expected attendees*
Audience demographics*
Section Three
Timing
What time will the Lunch and Learns start?*
: Hours
Minutes
AM/PM
What time will they end?*
: Hours
Minutes
AM/PM
Is this time slot flexible and/or tentative?*
- Yes
- No
If Yes, please explain below
Is there any other information you would like us to know to evaluate this request?

Application for Lunch and Learns

Section One

Section Two

Section Three