Colibrí Center for Human Rights Presentation Request Form
To request a presentation for your group, tour, class, student organization or other event, please fill out the form below.
Due to limited space at the Office of the Medical Examiners (i.e. Morgue), we host presentations at our office located at the Historic Y (738 N. 5th Ave, Tucson, AZ, 85705). **not available at this time due to Covid-19**
1. Please allow two weeks advance notice for speaker requests when possible.
2. A representative from Colibrí will contact you within three business days upon receiving request.
3. ATTENTION! If you need confirmation before three business days, please complete this form AND call Colibrí Center for Human Rights at (520)-373-1511.
4.We also ask for a $250 honorarium for our presenters. If cost is a concern, we would be willing to work with your organization.
* Required
Email
*
Your email
Requester Name:
*
Your answer
Requester Title:
Your answer
Name of Organization/ Faith-based Organization/ Academic Institution/ Student Organization:
*
Your answer
Best Contact Phone #:
*
Your answer
Is this request part of a "border tour"?
*
Yes
No
Required
Requested Date
*
MM
/
DD
/
YYYY
Requested Time
*
Time
:
AM
PM
Alternate Date
MM
/
DD
/
YYYY
Alternate Time
Time
:
AM
PM
Length of Presentation (in minutes)
*
Your answer
Expected Number in Attendance
*
Your answer
If you are requesting for a presentation in our offices, please indicate YES
*
Yes
Student Classification
Freshman
Sophomore
Junior
Senior
Graduate
Other:
Clear selection
Range of Majors
Your answer
Anything special about your group you would like to tell us:
Your answer
Send me a copy of my responses.
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