Request a S.H.A.D.E. Advocate-Leader to Speak or Train at Your Event
Email *
Name of Contact Person *
Information for your Contact Person
Please note who you would like to be emailed or called to follow-up with this request.
Organization Contact is Affiliated with *
Title of Contact Personal *
Contact's Email *
Contact's Phone Number *
Your Name & Title *
Name & Title of person completing this form. If you are contact feel free to put SELF.
Information about your Event
Title of Event *
Date of the Event *
Location of Event *
Please note S.H.A.D.E. is based out of Oakland. S.H.A.D.E. require the host to pay for transport.
Please describe your key audience? *
We are looking for who will be listening to the speaker. Examples: Teens, Social Workers, Church Members, Law Makers, Teachers, etc. This will inform us which SHADE advocate we are likely to contact to support this event.
What do you hope a S.H.A.D.E. Survivor Advocate-Leader will talk about?
If this is a training request, what topic are you interested in a trainer delivering on?
Please mark off the type(s) of sessions these are. *
Mark all that you would like a Survivor Advocate-Leader at.
Required
Please mark the below that you acknowledge and will inform individuals that need to know that S.H.A.D.E. requires hosts to cover mileage and/or travel expenses. If it is past a 3 hour driving radius, S.H.A.D.E. may ask for housing accommodations. There is also a training and or speakers fee, that will be discussed when we contact you. *
Are you charging a fee for attendants? *
If you are charging, How much? Is any percentage being donated to non-profits?
Would S.H.A.D.E. Memeber be able to attend the event also? *
Estimated Audience of the Event. *
Optional: Anything else you would like us to know about your organization and/or event?
Thank you!
S.H.A.D.E. is grateful that you thought of us for your event. We will be reviewing your request form as soon as possible and reply. Best wishes on your upcoming event.
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