Presentation Request Form
Please fill out the below form to request a presentation from the Mayor's Office on human trafficking. Confirmation of your request will be given within two (2) working days following submission of this form. If a scheduling conflict arises with your requested data and time, we will notify you and provide suggested alternatives.
Presenter Information
Minal Patel Davis, Special Advisor to the Mayor on Human Trafficking
Office of Mayor Sylvester Turner
E-Mail: minal.davis@houstontx.gov
Website: www.humantraffickinghouston.org
For Additional Press Inquiries
Please contact:
Alan Bernstein, Director of Communications: alan.bernstein@houstontx.gov
Mary Benton, Press Secretary: mary.benton@houstontx.gov
Tanya Makany-Rivera, Deputy Press Secretary and Public Information Officer: tanya.makany-rivera@houstontx.gov
Organization and Contact Information
Contact Name *
Organization Name *
Type of Organization *
Please check only one of the options below.
Required
Organization's Mission *
In one or two sentences.
Organization Address *
City *
State *
Example: TX, CA, WA, etc.
Zip Code *
Contact's Phone *
Please list your direct line, including the extension, if applicable.
Contact's E-Mail *
Organization's Website
If available.
Event Information
Type of Event *
Please check the type of event you are hosting.
Required
Purpose of Event *
In one or two sentences.
Other Panelists
If the event is a panel, please list the moderator and other panelists.
Prepared Questions
If the event is a panel, may we review the questions beforehand?
Date and Time of Event *
MM
/
DD
/
YYYY
Time
:
Event Location *
Please include the specific room or location of the event at your organization's address.
For Events Outside of Greater Houston
We require that travel expenses be covered if the event is outside of the Greater Houston area. If this question applies to your request, please indicate your acceptance.
Parking *
Will free parking be made available? If so, please indicate how the presenter can pick up a voucher.
Presentation Information
Type of Presentation Requested *
Describe what material you would like covered.
Target Audience *
Please identify the intended audience. Make sure to include any additional information about the audience and their expectations that will help the presenter.
Expected Number of Audience Members *
Time of Presentation *
Please indicate the approximate time during the event when the presentation will be given.
Time
:
Desired Length of Presentation *
Technology *
Will an internet-ready computer with projector and screen be made available?
Presentation Set-Up *
Will a podium and microphone be made available?
Additional Information
Additional Materials
Please indicate if you need any of the following materials from the presenter.
Courtesy Request *
Please indicate your agreement to notifying the presenter if a press release is issued, or if any of the above additional materials are used.
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