EMPATHY. RESILIENCE. TRANSFORMATION.

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HQ Address

ERT Institute, LLC

Attention: Buckingham Consulting Group

8101 Sandy Spring, Rd

Suite 250

Laurel, MD 20707

Phone Number

(202) 709-7381

Mail Address

[email protected]

Request a Training

1. Organizer Information

Training Organizer *

Organization / Event Sponsor *

Job Title *

Email *

Phone *

Organization Website

Organization Type

For-Profit

Nonprofit

Government

Corporate

Academia

Other

Best Contact Method

Email

Phone

Either

2. Event Overview

Event Title / Working Title *

Requested Date(s) *

Requested Time frame *

Expected Duration *

Estimated Number of Attendees *

Audience Type / Roles *

Event Description *

Desired Topic(s) / Theme(s) *

3. Delivery Format and Logistics

Training Type *

Virtual Webinar

Retreat

Virtual Conference/Workshop

In-Person Conference/Workshop

Other

Training Format *

Keynote

Training

Panel

Facilitated Discussion

Other

Will the Session Be Recorded? *

Yes

No

If yes, please request recording approval and policy terms.

Location / Venue / Platform *

Yes

No

Provide venue name and address, or webinar platform.

AV / Technology Available *

Travel or Lodging Needed? *

Yes

No

If yes, describe below.

Accessibility or Special Accommodations *

Include interpretation, ADA-related needs, accessibility supports, or audience considerations

4. Budget and Decision Timeline

Speaker Budget *

Provide the available speaker or training budget.

Cost of Attendance *

Deadline for Acceptance Response *

Decision-Maker(s) / Approval Process *

Additional Financial Notes

Include sponsorship, honorarium details, reimbursement expectations, or contracting requirements.

5. Additional Information

Anything Else We Should Know ?

Share goals, audience dynamics, previous related training, preferred speaker style, or other useful context

Requested Follow-Up

Email response

Consultation call

Proposal / quote

Other

Acknowledgement

By submitting this request, the organizer confirms that the information provided is accurate to the best of their knowledge and understands that submission of this form does not guarantee booking.

Date:

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ERT Institute | Empathy. Resilience. Transformation

Empathy is the Foundation, Resilience is the Engine, Transformation is the Outcome

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