CAIR-Missouri "Request a Speaker" Application
Hello! Thank you for contacting CAIR-Missouri to request a speaker. We are excited to engage with your audience!

While we aren't limited, some common talks that CAIR-MO has offered in the past include:
-Know Your Rights
-Overcoming Islamophobia
-How to be an Ally
-Islam 101 with Q&A
-Understanding Sharia Law
-Muslim Women in Islam

Please fill out this form to the best of your ability. We will do our best to get back to you within one week of your application submission. Please allow at least two weeks before an event to request a speaker. If you have any questions, please contact

Email address *
Contact Person's Information
Please provide us information to get in touch with you and your organization.
Your First Name *
Your answer
Your Last Name *
Your answer
Your Phone (xxx) xxx-xxxx *
Your answer
Organization and Event Information
What is your Organization's Name? *
Your answer
What is Your Event Titled? *
Your answer
What is the date of your event? *
What is the location and address of the event? *
Your answer
Tell us more about your event. *
Your answer
Who are the other speakers? *
Your answer
Who is the audience of the event? (Age, interests, etc). How many guests are you expecting? *
Your answer
Will the event be recorded? (Audio or video) *
Your answer
Is the event open to the public? *
Your answer
Speaker Expectations
What do you expect from a speaker? Please be as specific as possible. Please include expected speaker topics, length of speaking time, and other expectations. *
Your answer
What time should the speaker arrive? *
Do you have a budget for honorarium or travel reimbursement? If so, what is it? *
Your answer
Anything to add?
Do you have any other comments or information to provide? *
Your answer
A copy of your responses will be emailed to the address you provided.
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