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WVFF Contact Form - Speaker/Presentation Request
Thank you for your interest in having a representative from the West Virginia First Foundation (WVFF) speak, present, or serve as an exhibitor at your upcoming event.
Please complete the form below to help us better understand your request. Our team will review your submission and follow up to coordinate next steps.
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* Indicates required question
Email
*
Your email
Full Name (First and Last)
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Your answer
Phone Number
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Your answer
Event Name
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Your answer
Event Host Organization
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Your answer
Event Date
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MM
/
DD
/
YYYY
Event Start Time
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Time
:
AM
PM
Event End Time
Time
:
AM
PM
Event Format
*
Choose
In-Person
Virtual
Hybrid
Event Location/Venue
Please include full address or specify if virtual.
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Your answer
Event Website or Registration Link
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Your answer
Estimated Attendance
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Your answer
Audience Type
Select all that apply.
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Youth/Students
Community Members
Health Professionals
First Responders
Policy Makers
People with Lived Experience
Other:
Required
Role Requested
*
Choose
Keynote Speaker
Panelist
Workshop Presenter
Brief Remarks
Exhibitor
Requested Topic or Message
Please share a few sentences describing the themes or outcomes you’d like us to address (e.g., prevention, recovery pathways, impact of the opioid crisis, WVFF funding, youth empowerment, etc.).
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Your answer
Estimated Speaking Time
How long do you anticipate WVFF will have to present?
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Your answer
Will Q+A be offered?
*
Choose
Yes
No
Will the press/media be invited or in attendance?
*
Choose
Yes
No
Unsure
Will the presentation be recorded?
*
Choose
Yes
No
Materials Needed from WVFF
Briefly describe what materials WVFF will need to supply. Ex: headshot, bio, PowerPoint slides, etc.
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Your answer
Consent
Submitting this form does not guarantee speaker availability. We will do our best to accommodate requests based on alignment with WVFF’s mission, scheduling capacity, and event relevance.
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Yes, I understand.
Required
How did you hear about WVFF?
*
WVFF Website
Social Media
Referral
Event or Conference
News Article
Other:
Required
A copy of your responses will be emailed to the address you provided.
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