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