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 info@cair-mo.org.
Email *
Contact Person's Information
Please provide us information to get in touch with you and your organization.
Your First Name *
Your Last Name *
Your Phone (xxx) xxx-xxxx *
Organization and Event Information
What is your Organization's Name? *
What is Your Event Titled? *
What is the date of your event? *
MM
/
DD
/
YYYY
What is the time of your event? *
Time
:
What is the location and address of the event? *
Tell us more about your event. *
Who are the other speakers? *
Who is the audience of the event? (Age, interests, etc). How many guests are you expecting? *
Will the event be recorded? (Audio or video) *
Is the event open to the public? *
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. *
What time should the speaker arrive? *
Time
:
Do you have a budget for honorarium or travel reimbursement? If so, what is it? *
Anything to add?
Do you have any other comments or information to provide?
A copy of your responses will be emailed to the address you provided.
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