Thank you for exploring the possibility of partnering with Gene in a ministry event.  Gene feels strongly that it is a speaker’s responsibility to connect with the spiritual, logistical, and cultural needs of those planning and attending an event.  It is common for him to prepare custom messages for groups months ahead of time.  To help in his preparation, we would appreciate your taking the time to fill out this online form.  If your event planning is still in process, please fill out as much of the form as possible.


Name of the Organization you represent
Your Name and Title
Work Phone
Home Phone
Cell Phone
Email address


Event Start Date and End Date
Event Start and End Times


How many times (sessions do you want Gene to speak at your event?
Please fill in the info for each session time (Start time, end time, and total speaking time for each session)


City and State in which event is to be held
Location of event
The location at which Gene will be speaking (if different than above)
Closest airport to the event location


Purpose of the event
List three spiritual needs the majority of those who will be attending the event presently have.
Theme of the event (if applicable)
Targeted audience.
Click the boxes below that best describe those who will be attending the event and receiving ministry directly from Gene during this time.
  • Laity and church people
  • Men from local churches
  • Lay leaders from local churches
  • Ministers and church leaders
  • Blue collar people
  • Professional people
  • Children's leaders
  • Youth leaders
  • Adult leaders
  • General public
  • Other (please describe)
Describe the normal atmosphere of the event
Describe your feelings about the success and atmosphere of this event in the past
Indicate your preference for Gene’s dress at this event
  • Casual (dress jeans, open collar button-up shirt, and dress shoes)
  • Business (dress slacks, sports coat with open collar shirt, and dress shoes)
  • Formal (suit/sports jacket, tie, and dress shoes)


Gene likes to interact with those he will be speaking to as much as possible. If your event has other activities or free time within the schedule, please list them below (activity, date and time)


Describe a specific topic you would like Gene to address (if applicable)


When possible, Gene likes to use props, video, sound effects, and other media applications to help communicate spiritual principles although these items are not necessities. Please check the boxes below if your venue and event staff are able to offer any of the following resources
  • Video projection
  • CD/DVD
  • Lighting
  • Manned sound system
  • PowerPoint (projected)
  • Computer generated images
  • Other (please specify)
  • None

Thank you for giving us such valuable information. We look forward to exploring the possibility of partnering with you to make your event a spiritual success. Gene will contact you in the very near future to review this information, hear your burden for the event and get any additional feedback.