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Request for speakers
Please fill out this form if you're interested in sourcing a volunteer speaker for your organization. Once we receive your request, we'll send you a list of potential matches with their identity removed. After you indicate your preferences, we will reach out to speaker candidates to see if they are willing to be introduced to your organization.
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What is your organization's name? *
What is your organization's website address? *
What is your organization's mission? Provide a short description of your organization's purpose. *
Indicate your organization's audience type (check all that apply). *
Required
Indicate the size of your audience (check all that apply). *
Required
Speaker candidates are asked to identify themselves be selecting categories they believe the fit into. If you have a preference for certain qualities in speakers, please select check all that apply.
Indicate the format you'd like the presentation in (check all that apply). *
Required
Indicate the area of expertise you'd like addressed by this speaker (check all that apply) *
Required
If you need this speaker for a specific event, indicate venue, address, time, date
Are you able to cover travel fees, if applicable, for this speaker? *
What is your name? *
What is your email address? *
What is your phone number?
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