Request For Interview/ Speaking

Invitation Request Form

Thank you for your invitation. I’m honored and consider it a privilege to be invited to speak with you and your community to further the movement toward better fitness. By sharing both the principles and the power of personal journey in fitness, people will gain incredible perspective to re-orient their thinking, habits and commitment to improving their own fitness. In order to best serve your needs, whether for an interview or a speaking engagement, please complete the form below.

Today's Date

Requested Date (including year):

Requestor’s Name:

Requestor’s Title:

Street Address:








Is This For An Interview?
 Yes No
If yes, please proceed with filling up the next fields.
If no, please proceed with the next “yes” or “no” question.

Type of Media:

Interview Focus / Angle:

Projected Length of Interview:

Audience Demographics (age, interests):

Projected Circulation: How Big Is Your Audience?

Is This For A Speaking Engagement?

If yes, please proceed with filling up the next fields.

Event Location:

Overnight Accommodations Info:

Existing Interest in the Community?
 Yes No

Please list all strategies you have in mind for advertising the training:

How many people do you expect to have in attendance?

Please list comments and other info here:

Please note that a Jake Sawyer Fitness team member will respond to your request within 48 hours. If you have not heard a return response by then, there may have been a problem in submission. In that case, please contact us at

Thank you for your interest in inviting Jake to speak with your community.