Speaker/Event Interest Form
Thank you for your interest and support! Please fill out this quick form telling us a little more about your request so we can get back to you as soon as possible.
Email address *
Name *
Your answer
Email *
Your answer
Phone number *
Your answer
Please describe your request (what kind of event, school, group, project, etc are you loooking for a speaker for?) *
Your answer
Where is the location of your request? *
Your answer
What is the date of your request? *
MM
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DD
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YYYY
What is the time of your request? *
Your answer
Are there other dates and times that would work? *
Your answer
To continue this work sustainably speakers are compensated for their time at a sliding scale of $75-$150/ hr for community groups. Institutional rates available as well. Please estimate your expected financial contribution : *
Your answer
If applicable are you able to cover travel expenses and mileage?
Is there any other information that your would like to let us know ?
Your answer
Thank you!
We are not always able to accommodate all requests. We will get back to you as soon as we can.
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