Doc Shauna Springer
Home
My Story
Hidden Ivy – The Meaning of The Name
Speaking
Psychology Today
Healthy Close Relationships
Book Recommendations
Firearm Safety
Warrior Box Project
Suicide Prevention
Media
Story of Our Trauma Podcast
Media Inquiries
Testimonials
Contact
✕
Speaking Request
Speaking Request Form
Name
*
First
Untitled
*
Phone
*
Email
*
Event Location
*
A web-based live speaking appearance
A pre-recorded speaking appearance
Is this request made for…
*
An in-person speaking appearance
Address
*
City
State*
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Date
MM slash DD slash YYYY
Estimated Audience Size
*
Untitled
*
Untitled
*
Untitled
*
Untitled
Untitled
Email
This field is for validation purposes and should be left unchanged.
Automated page speed optimizations for fast site performance