Speaker Request Form

Your Name (required)

Your Email (required)

Your Healthcare Profession (required)

Healthcare Practice
Private PracticeClinic

Program/Service Interest
[checkbox Program/ServiceInterest label_first "Webinars" "Certification Training" "Business Building Training " "Consultant/Mentor"]

THANK YOU

We  look forward to speaking with you. Someone will be in touch with you within 48 hours

Thank You for your interest in wanting to speak with Njideka about being a presenter at your event.