Speakers' Bureau Event Request Form

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Thank you for your interest in having the “Faces of Homelessness” Speakers' Bureau attend your upcoming event. This public education program is an essential part of our mission at the National Coalition for the Homeless, and we appreciate you giving us this opportunity.

We promote advocacy, education, and service. As people who have been homeless or are experiencing homelessness, the speakers in the Bureau are the real experts on homeless issues and we believe that their voices are essential in the fight to end homelessness. Speakers' presentations work to promote advocacy, understanding and service.

We look forward to working with you and learning more about your event. Please review our information and guidelines for event hosts and complete the event form and return it in a timely manner.

Email *

Event Guidelines and Information

We are able to provide virtual or in-person presentations. We ask that in-person audiences are either masked or fully vaccinated against COVID19.

Speakers are able to provide:
- An introduction to homeless statistics and policy
- Moderation of discussions around homelessness
- Relate their personal experience losing their home, and if relevant, regaining housing
- Answer audience questions, and/or provide informal conversation with audience members

Please plan to give each speaker 10-20 minutes to relate their story, adding time if you would like for them to give an overview of homeless stats or policy.

These time frames are only recommendations. The Speakers' Bureau has worked with a variety of faith groups, student organizations and social action service-oriented groups with presentations ranging from full high school assemblies to smaller panel presentations. We can be flexible and can adjust our presentation format to fit your group's schedule.

Honoraria : Each speaker receives a $100 honorarium for their time and expertise.

Program Fee : We ask that groups provide a program administration fee to the National Coalition for the Homeless of $50 per speaker to bring the “Faces of Homelessness Speakers' Bureau to your group.

Total costs for engagements:
For 1 speakers: $150
For 2 speakers: $300
For 3 speakers: $450

Payment: NCH will send an invoice via email to your group once the request form is received and event is scheduled. We ask that you pay upon receipt of the invoice, in advance of the speaking engagement. Payment via check is preferred, but we also accept cash or credit card charge via our website.

Travel: We do request that sponsoring groups cover the cost of travel and lodging for in-person events.

Become a Member/Make a Donation : If your organization would like to support the work of the National Coalition for the Homeless, it can do so by becoming a member or by making a donation. More can be found on the NCH website (https://nationalhomeless.org).

What is the name of your organization? *

Primary Contact Information: Name/Title *

Email Address of Primary Contact *

Mailing Address *

City/State/Zip Code *

How many speakers would you like on the panel (recommended: 2-3 speakers)? *

Would you like to request a particular speaker or have other specific requests (gender, etc.)?

What date is your event? *

YYYY

What time would you like speakers to arrive? *

Time

What virtual platform will you use for the presentation? Please provide any relevant login or access information. *

How long do you expect your event to last? *

What is the format of the event (keynote, workshop, class, discussion, etc.)? *

Please list the cell phone number of a contact who will be managing the event. *

Do you have a particular subject focus or audience need (homeless children, housing issues, health care, policy, etc.)?

What is your expected attendance? *

What is your audience's age range? *

What is your audience's level of knowledge on homelessness? *

Would you object to our speaker(s) making a request for donations at the end of our presentation?

Yes

Clear selection

Would you like to add an additional donation to the National Coalition for the Homeless? If yes, please enter the amount to be added to your invoice.

Other comments/questions?

NCH/Group Agreement

All honoraria ($100 for each speaker) and the program fee ($50 per speaker) must be included in one check made out to the National Coalition for the Homeless in c/o Speakers' Bureau. See the first section entitled, Event Guidelines and Information, for a cost breakdown.

Please fill in the check memo section with: Speakers' Bureau (date of presentation).

Once we have received this filled out Event Info Form, we will send you a confirmation within 5 days of receiving the request. We will also send you an invoice in advance of the event.

The Following organization agrees to pay the National Coalition for the Homeless for honoraria and program fee: *

Payment should be mailed in advance of the presentation or mailed on the day of the event. The undersigned agrees to reimburse NCH within 30 days of receiving the invoice. In the event that you need to cancel a presentation, please contact NCH (by phone and/or email) at least 48 hours prior to the scheduled time of the event. Full payment will be expected in the case of cancellations made less than 24 hours prior to the scheduled time of the event. By entering your name in the field below, you are effectively providing your signature, indicating your consent to abide by the terms of this agreement.

Name *

Date *

YYYY

A copy of your responses will be emailed to the address you provided.

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