Speaker Request Form

It's time to Stand and Deliver!

What we do

Positive Impact and Long-term Results

As a keynote speaker, Dr. Jason is a respected researcher, an expert in the fields of Leadership, Organizational Development, Leading Organizational Change, and Teams.

He is frequently quoted as an expert in articles appearing in national journals & magazines, he has also been featured on ABC, ESPN, Fox News, TBN and NBC News programs. He is a former professional athlete for the New England Patriots, founder of Jason Carthen Enterprises, and has been in private practice for over 20 years.

Please take a moment to fill out the form below and we will get back to you shortly.

Let's Start the Conversation!

Booking and Speaker Request Form

Company/Organization*
Company's Mission*
Date and Time of Event*
Event Location*
Target Audience*
Goal of Event & Top Three Objectives for Audience*
Speaker Budget*
Note: Place actual budgetary amount in the required field. 50% of total balance is due in order to book or hold the event upon signing contract. Once the contract has been signed, the remaining balance is due on or before the date of the event. Additional expenses, e.g., airfare, lodging, meals, travel, etc. are not included in speaking fee, unless approved prior to event.
Expected Number in Attendance*
Expectation of Dr. Jason*
Length of Time Needed from Dr. Jason for the Event?*
Any Other Event Comments*
Name*
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Email*
Phone*
Job Title*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Your Company's Website*

testimonials

What others say about Dr. Jason....

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Denise Zoephel

Dr. Jason’s powerful message earned him a standing ovation from our members. His authentic style, passionate approach and gift for storytelling made for one of the most memorable luncheons in our group's history.

”

Hal Becker

I had the fortune of hearing Jason today. All I can tell you is that he walks the talk. When you meet him one on one he is genuine, down to earth, enthusiastic and just an all around good guy. You’re not seeing a phony guy speaking, you’re seeing the real deal. He’s like that in his personal life and with his business. Get to know Jason….

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Matt Radicelli

Jason absolutely crushed it today! I was amazed at the energy, the power and the passion of everything that he shared today. He had insights from real life experiences from his professional football career and how he transferred that into a successful business. I would love to hear him again!