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 from 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, 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.

If you have questions or feedback, please contact Sarah Cavalcanti, Marketing and Communications Director, at 801-875-4589 or sarah.cavalcanti@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.

Email address *
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) *
MM
/
DD
/
YYYY
Is this a personal residence or a business? *
Event Start Time *
Time
:
Event End Time *
Time
:
VOAUT Representative Requested Start Time *
Time
:
VOAUT Representative Requested End Time *
Time
:
Audience Type *
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) *
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? *
Expected Media Coverage *
Will this event be videotaped?
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) *
Required
Would you like our representative to bring any promotional or marketing materials? If yes, please check all that apply: *
Required
Additional details/notes
Your answer
Want to stay in the loop with us via email? *
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service
Google Forms