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:
Janice Evans, Chief Policy Officer and Director of Communications: janice.evans@houstontx.gov
Darian Ward, Press Secretary: darian.ward@houstontx.gov
Organization and Contact Information
Contact Name *
Your answer
Organization Name *
Your answer
Type of Organization *
Please check only one of the options below.
Required
Organization's Mission *
In one or two sentences.
Your answer
Organization Address *
Your answer
City *
Your answer
State *
Example: TX, CA, WA, etc.
Your answer
Zip Code *
Your answer
Contact's Phone *
Please list your direct line, including the extension, if applicable.
Your answer
Contact's E-Mail *
Your answer
Organization's Website
If available.
Your answer
Event Information
Type of Event *
Please check the type of event you are hosting.
Required
Purpose of Event *
In one or two sentences.
Your answer
Other Panelists
If the event is a panel, please list the moderator and other panelists.
Your answer
Prepared Questions
If the event is a panel, may we review the questions beforehand?
Your answer
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.
Your answer
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.
Your answer
Parking *
Will free parking be made available? If so, please indicate how the presenter can pick up a voucher.
Your answer
Presentation Information
Type of Presentation Requested *
Describe what material you would like covered.
Your answer
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.
Your answer
Expected Number of Audience Members *
Your answer
Time of Presentation *
Please indicate the approximate time during the event when the presentation will be given.
Time
:
Desired Length of Presentation *
Your answer
Technology *
Will an internet-ready computer with projector and screen be made available?
Your answer
Presentation Set-Up *
Will a podium and microphone be made available?
Your answer
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.
Your answer
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