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OFFICIAL BOOKING FORM
PRIMARY CONTACT
FIRST Name LAST Name
Work Phone Mobile Phone
Organization Name
Industry
Organization Address
(Suite, Box)
City State Zip
Office Number
Organization Web-site
EVENT DETAILS
Event Name/Theme
Event Purpose
Event Date Event Time
Organization Address
(Suite, Box)
City State Zip
Event Web-site
Event Room/Hall/Floor Event Room/Hall/Floor
Projected Audience Size Number Panel Members (if applicable)
Parking Arrangements (Please specify "reserved", valet reimbursements, etc.)
PRESENTATION
Specify Expectations for Sonya Sloan, M.D. (keynote, panel, Q&A, lecture, etc.)
Expected duration of presentation for Sonya Sloan, MD
Honorarium
NOTE: 50% of the honorarium is requested in order to reserve the event on Dr. Sonya Sloan's calendar. 50% remaining balance is due the day of event, just prior to presentation (Only applicable for Houston-based events. Please indicate if the Booking Form - 100miles+ is needed)
See attached for: Sonya Sloan, MD | Official Image Sonya Sloan, MD | Biography
SOCIAL MEDIA
Sonya Sloan, MD | #orthodoc Website: sonyasloanmd.com Twitter: SonyaSloanMD Facebook: SonyaSloanMD Tumbler: SonyaSloanMD Instagram: SonyaSloanMD LinkedIn: SonyaSloanMD Periscope: SonyaSloanMD
Your ORGANIZATION's SOCIAL MEDIA
Facebook Twitter
Tumblr Instagram
Instagram Facebook
Periscope
ADDITIONAL REQUESTS
1. The SONYA SLOAN, MD team request a high-resolution copy of pre-event marketing materials, as well as, photography, video and/or audio recording of the event for our archives and continued support to your brand. 2. Dr. Sonya will need the following: 1 Bottled Water 1 towel 3. On-site event representative upon arrival and departure for overall direction 4. (1) Merchandise table + 2 chairs 5. Private Green Room area for personal items
SONYA SLOAN, M.D. | BIO
Sonya M. Sloan, M.D., aka “#OrthoDoc”, has established herself as a force to be reckoned with in a male dominated field as an Orthopedic Surgeon. Dr. Sloan is licensed to practice medicine in several states and prefers to extend that impact traveling the country. Her commitment to helping her patients and their loved ones truly understand their medical problems in a practical language has been so great that she has developed her own branch of language: ˈpraktək(ə)l/-OLOGY. She is the quintessential fusion of her love for science and passion to help others. Dr. Sloan is a native of Denison, Texas. In 1992, she gained national attention as the first African-American Homecoming Queen at Texas Tech. She earned her undergraduate degree in Chemistry at Texas Tech University in 1994 and received her Medical Doctor degree from the University of Texas Medical Branch (UTMB) at Galveston. Upon graduation from UTMB, Dr. Sloan accepted a residency position in surgery at Baylor College of Medicine. With ultimate resiliency, she was the first ever African-American female surgical resident in the history of Baylor College of Medicine. After a year of surgical residency, Dr. Sloan also became the first African-American female Orthopedic Surgical resident at Baylor College of Medicine. She has completed several research projects in Orthopedic Sports Medicine (published) and a joint venture with NASA, Johnson Space Center. In 1992, Dr. Sloan began her first entrepreneurial venture with “Not Just Coffee” and later established two non-profits called, AAACP (African American Association for Christian Physicians) and ME & WE, Inc. (Motivating & Empowering Women to Excel), which collectively reaches over 5, 000 women daily. Due to her passion to impact lives beyond the hospital walls, she is a highly sought after public figure for health awareness and motivational speaking. Dr. Sloan currently serves on the Houston School Board Committee called School Health Awareness Committee (SHAC) and Dairy Max, which helps youth gain the proper daily nutrition. She is currently working on two books: One that will serve as the ultimate guide for medical professionals and the other a autobiographical book that will disclose some of her personal journey and experiences on her rise to medical success. Both books are anticipated to be released in 2016. In addition to her surgical and technical expertise, Dr. Sloan was recently chosen as one of the “Top 25 Women” in Houston and featured in Essence Magazine, as well as several other publications. She is a proud member of Alpha Kappa Alpha Sorority, Inc., Mary Susan Moore – Black Female Physicians and a host of academic societies. Dr. Sloan is the First Lady of “The Luke Church,” in Humble, TX. Dr. Sonya Sloan is the First Lady of “The Luke Church”, in Humble, TX, where her husband, Timothy W. Sloan, is the Senior Pastor. She is the Founder of God's Women Rock, a non-traditional, international, annual awards concert that honors spiritual women of all walks of life that are making a difference for a greater good.