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Request for Tech Leader to Speak at your organization
WTIA has set up a speakers' bureau to match schools/non-profit organizations that support efforts to increase women and underrepresented minorities in technology. Please fill out this form and we'll match you with potential speakers.
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* Indicates required question
What is the name of your organization?
*
Your answer
What event do you need a speaker for and what is your timeframe?
*
This can be a regular class, a school assembly, a club meeting, etc. Please specify time and time.
Your answer
Where will this speaking engagement take place?
*
Please provide full address.
Your answer
How big is the target audience?
*
Under 10
11-30
31-100
101-500
501+
What is the age group of the target audince?
*
Check all that apply.
K-5
6-8
9-12
College age
Adult education
Required
Please describe the demographic make up of the target audience
*
Check all that apply
Predominantly African American and/or Hispanic
Girls/Women
Low-income
Rural
Limited access to technology
Other:
Required
What is your preference for a speaker?
*
Check all that apply.
Executive leader
Engineer/software developer
Woman
Underrepresented minority
Under age 40
Other:
Required
What format will the speaker be expected to present in?
*
Check all that may apply or are acceptable formats.
Q & A
Formal presentation/lecture
Panel
Workshop
Other:
Required
Does your school/organization require a criminal background check?
*
Yes
No
I don't know but I will find out soon.
What is your email address and the best phone number to contact you at?
*
Your answer
Do you have any other comments, thoughts, or questions to share about this speaking opportunity?
Your answer
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