Code2040 Speaker Request Form
Thanks for your interest in bringing Code2040 to your event! Please fill out the Speaker Request Form and we will get back to you within 48 hours.
Name of Event *
Your answer
Date of Event *
MM
/
DD
/
YYYY
Proposed Speaking Time *
Time
:
Location (City & State) *
Your answer
Speaking Format *
Required
Tell us a bit about the topic you'd like us to cover at this event. *
Your answer
Why are you requesting Code2040 for this event/topic? What perspective do you think we could bring? *
Your answer
Who is attending this event? Share the estimated number of attendees, sector(s) represented, and career level, and background of attendees. *
Your answer
What is the demographic make up of attendees? Share an estimated percentage of people of color, women, age range, etc. *
Your answer
Besides the actual speaking slot, are there other time commitments?
Your answer
Are you able to cover travel + lodging for speakers? (for requests coming outside of the Bay Area only) *
Will speakers receive an honorarium?
Your answer
Please include a link to your event. *
Your answer
Your name and email address *
Your answer
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