Fall 2025 Speaker Request Form
You will not receive an email confirmation after you have filled out the form. Once you see “thank you for your submission” on the page, your request has been successfully submitted and a team member will be in touch with you once we confirm with the speaker. The speaker is not confirmed until you are connected with them or their team. 

If the speaker you wish to request is not listed, please email KDobson@leadershipinstitute.org to see if we can help.
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First and Last Name *
School (spell out) *
Group *
State *
Will your event be in person or online? *
Socialism / Communism Speakers through The Dissident Project. Select the country of the Speaker you would like to discuss: 
Pro-Israel Speakers 
Pro-life Speakers 
Second Amendment Speakers
Economics Speakers 
First-Amendment / Higher Ed Speakers 
Traditional Values / Feminism Speakers 
Right to Work Speakers 
Conservation Speakers 
General Conservatism Speakers 
Date option 1 *
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Date option 2 *
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Date option 3 *
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Suggested Time of Event *
Your Phone Number
Your Email *
Expected attendance *
Choose The Regional Manager For Your School’s State (Listed Below) *
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