Request a Speaker
Are you interested in having someone from our organization speak at an upcoming event? Please complete our Request a Speaker form below at least three weeks before your requested event date. A member of our team will contact you soon to let you know our availability. Thank you!
Full Name *
Email Address: *
Phone Number: *
Name of the organization hosting the event: *
Have you already spoken with a member of our team about this event? *
Yes or No. If yes, who have you been in contact with?
Type of speaking engagement: *
(keynote, message, seminar/workshop, training, panel, exhibit)
Focus of speaking engagement: *
What specific topics would you like us to address?
Length of talk requested: *
Brief Description and schedule of full event: *
Who is the audience? How will this event be advertised? Please be specific *
Estimated Attendance: *
Event Date:
MM
/
DD
/
YYYY
Event Time *
Please provide both a start and end time
Event Location: *
Please give the physical address.
If the speaking request involves a PowerPoint presentation, do you have the appropriate technology available?
Is RJI able to have a promotional table at this event? *
Required
Is RJI merchandise able to be sold at this event? *
Required
May RJI request donations from the audience at this event? *
Required
Please describe, in a few sentences, how your organization plans to build on or follow up this event. *
How are you planning to further engage in justice issues?
Proposed Honorarium *
Are you also able to cover travel expenses if necessary?
Required if speaking engagement is outside of the Greater Richmond area.
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