Volunteers of America, Utah Speaker & Presentation Request
Volunteers of America, Utah Staff and Volunteers are happy to share our experience, expertise, and stories with our community. Please complete this form at least 21 days prior to your requested presentation.
Speakers are available weekdays between 8:00 am to 7:00 pm. If you are requesting a tour of the Youth Resource Center as part of the presentation, please note that participants must be age 16 or older.
If you are requesting a speaker with a clinical or specialized background (for example, a clinician to speak about substance abuse treatment), we will make every effort to accommodate this, but we do ask for a minimum of 30 days notice. We may be unable to accommodate requests for clinician speakers without sufficient notice for scheduling.
If you have questions or feedback, please contact Blair Hodges, Director of Marketing & Communications, at (801) 875-45859 or
blair@voaut.org
While some details may not be immediately available, we appreciate you making every effort to submit this form at least 21 days before your event. Requests of extremely short notice (within 10 days of the event) may not be processed since it will not allow for adequate staffing coordination.
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* Required
Email
*
Your email
Event Overview
Contact Name
*
Your answer
Contact Phone Number
*
Your answer
Name of Organization Hosting Event
*
Your answer
Description of Organization:
*
Your answer
Event Title:
*
Your answer
What is the purpose of this event?
*
Your answer
Event Location (City/State/Venue/Room)
*
Your answer
*Reminder
Reminder: If you are requesting a speaker with a clinical or specialized background (for example, a clinician to speak about substance abuse treatment, etc.), we will make every effort to accommodate this, but we do ask for a minimum of 30 days notice. We may be unable to accommodate requests for clinician speakers without sufficient notice for scheduling.
Event Date (Minimum 21 days from today)
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MM
/
DD
/
YYYY
Is this a personal residence or a business?
*
Residence
Business
Event Start Time
*
Time
:
AM
PM
Event End Time
*
Time
:
AM
PM
VOAUT Representative Requested Start Time
*
Time
:
AM
PM
VOAUT Representative Requested End Time
*
Time
:
AM
PM
Audience Type
*
School/University
Community Group
Business
Church/Faith-Based Group
Youth Organization
Other:
Estimated Audience Size
*
Your answer
Presentation Overview
Topic of Presentation
*
Your answer
What do you hope to achieve from this presentation?
*
Your answer
Area of Interest (Check all that Apply)
*
Addiction
Homelessness
Mental Health
Required
Type of Presentation (Panel Discussion, Open Remarks, etc.)
*
Your answer
If panel discussion, or other speakers attending event, please provide a list of other invited and/or confirmed panelists/speakers:
*
Your answer
Please identify and other speakers from Volunteers of America, Utah requested for this event:
Your answer
Will there be a Q&A?
*
Yes
No
Other:
Expected Media Coverage
*
Yes
No
Will this event be videotaped?
Yes
No
Clear selection
If a VOAUT representative is unavailable to attend in person, would a pre-recorded message or video be an option? If yes, please state preference.
*
Your answer
AV Equipment Available/Provided (please check all that apply)
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Laptop
Sound/Microphone
Projector/Screen
Internet connection
Not Applicable
Required
Would you like our representative to bring any promotional or marketing materials? If yes, please check all that apply:
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Table
Table Cloth
Generic Flyers
Maud's Café Coupons
Pop-Up Banners
Chairs
Donation Collection Box
Substance Abuse Flyers
Mental Health Flyers
Youth Homelessness Flyers
Other:
Required
Additional details/notes
Your answer
Want to stay in the loop with us via email?
*
Yes
No
A copy of your responses will be emailed to the address you provided.
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