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OCBA Jackie Winters Speakers' Bureau Organization Speaker Request Form

The Jackie Winters Speakers' Bureau promotes community conversations that explore the social, economic, and civic contributions of Black Oregonians. The aim of the Speakers' Bureau is to connect nonprofits, businesses, and other entities in need of speakers on a diverse range of topics with individuals who have lived and professional experiences related to that need. 

To request a speaker, please fill out the form below. 

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Eugene Juneteenth Celebration
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Jazzmen Vega-Heath
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Event Producer
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jjkkjjfsl
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4153 London Court, Eugene, OR 97402
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Is your business registered within the state of Oregon? 
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Yes
No
Unsure (if unsure, please visit https://sos.oregon.gov/business/pages/find.aspx to find out)
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add "Other"
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Listed below are the topics speakers will have to choose from. Please check the topics your organization would be most interested in hearing a speaker talk on:
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Oregon's Black History *
The Black Immigrant Experience
LGBTQ+ and/or Gender Diversity
Laws and Legal Frameworks
Faith and the Black Church
Business and Entrepreneurship
Black Art (music, photography, etc.)*
Institutional Racism and Social Justice
Health, Mental Health, Health Equity
Restorative Justice or Criminal Justice Reform
Environmental Racism/Environmental Justice
Leadership*
Education
Other:
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Has your organization hosted speakers before?
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Yes*
No
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or
add "Other"
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Is your organization in a position to be able to pay a speaker for their time?
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Yes
No
Maybe*
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or
add "Other"
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How long would you like the speaker to speak?
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30 minutes*
60 minutes
90 minutes
2 hours
Other:
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Once/ annual
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June 15, 2024 What date (approximate...) would you like to host the speaker?
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Will the speaker be remote or in-person?
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In-person*
Remote
Flexible
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or
add "Other"
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What is your plan be to promote the speaking engagement (ex: flyers, social media, listserv, word of mouth)?
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Do you plan to compensate the speaker? One of the needs the OCBA would like to highlight is the value of individuals' time. We encourage you to consider appropriate compensation for the skills required and the hours needed to prepare a presentation (A typical 60 minute presentation is often compensated at the rate of $500)
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Yes
No
Unsure
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or
add "Other"
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If yes, how much are you planning to compensate the speaker?
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Untitled Title
Untitled Title
Eugene Juneteenth Celebration
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Jazzmen Vega-Heath
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Event Producer
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jjkkjjfsl
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4153 London Court, Eugene, OR 97402
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No responses yet for this question.
Is your business registered within the state of Oregon? 
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No responses yet for this question.
Listed below are the topics speakers will have to choose from. Please check the topics your organization would be most interested in hearing a speaker talk on:
Copy chart
No responses yet for this question.
Has your organization hosted speakers before?
Copy chart
No responses yet for this question.
Is your organization in a position to be able to pay a speaker for their time?
Copy chart
No responses yet for this question.
How long would you like the speaker to speak?
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No responses yet for this question.
Once/ annual
No responses yet for this question.
June 15, 2024 What date (approximate...) would you like to host the speaker?
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No responses yet for this question.
Will the speaker be remote or in-person?
Copy chart
No responses yet for this question.
What is your plan be to promote the speaking engagement (ex: flyers, social media, listserv, word of mouth)?
No responses yet for this question.
Do you plan to compensate the speaker? One of the needs the OCBA would like to highlight is the value of individuals' time. We encourage you to consider appropriate compensation for the skills required and the hours needed to prepare a presentation (A typical 60 minute presentation is often compensated at the rate of $500)
Copy chart
No responses yet for this question.
If yes, how much are you planning to compensate the speaker?
Copy chart
No responses yet for this question.
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