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Engagement Request
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Name of Event *
Date *
Name of Organization *
Name of Requestor *
What Division? *
Website *
Who is the contact for this engagement and what is their contact information? Please include email or phone number. *
What is the conference or engagement? *
Link or website for event
Date of Conference? *
Date and Time DOR representative will speak? *
Will there be any travel outside of the Denver area? *
What costs will be reimbursed? What costs will be covered directly? What are the rough estimates for each cost? *
Does less than 5% of the organization's income come from for-profit entities? *
What topics would you like the DOR rep. to speak about? (Please be as specific as possible): *
Will the DOR rep. be part of a panel? If yes, who are the other panel members? *
How many people will attend the speaking engagement? Who will they be? *
In what order is the DOR rep. speaking, i.e. 1st, 2nd, etc. *
Who will be preceding and/or following the DOR rep. after his/her presentation? *
What are each speakers topics? *
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