Speaker 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. Requests should be submitted at least 1 (one) month in advance and through the this form to help us determine if anyone is available.
Email address *
Name (and Organization Name if applicable) *
Phone number *
Please describe your request (what kind of event, school, group, project, etc are you looking for a speaker for?) *
Where is the location of your request? *
What is the date of your request? *
What is the time of your request? *
Are there other dates and times that would work? *
To continue this work sustainably speakers are compensated for their time at a sliding scale of $150-$350/ hr for community groups. Institutional rates as well. Please estimate your expected financial contribution : *
If applicable are you able to cover travel expenses and mileage?
Clear selection
Is there any other information that your would like to let us know ?
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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