Equality North Carolina Speaker Request

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for inviting Equality NC to speak at your event!

Please fill out this form and we will match you with the staff member, board member, or volunteer most appropriate for your event. Please contact enc@equalitync.org if you have any questions.

Email *

Name of contact person for event *

Phone number *

Name of requesting organization/church/club *

Proposed date for event

YYYY

Proposed time for event

Time

Who is the key audience for this event?

How many people do you anticipate attending the event?

What is the presentation topic?

Civic Engagement

College/University Campus Climate

Diversity, Equity & Inclusion

K-12 Professional Development

K-12 Student Workshops (GSAs/class presentations)

LGBTQ Advocacy & Policy

Other:

What is the theme and/or concept you'd like the speaker to present on?

Please be descriptive as possible.

What is your proposed budget? *

Is your event in-person or online? *

In-Person

Online

Hybrid

Flexible

Location of event

If online, what platform are you using?

Please provide us with any additional information about your goals or expectations for this event.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Equality North Carolina. Report Abuse

Forms