MVA Speaker Request
Thank you for your interest in having a member of the Minority Veterans of America team speak at your event. In order to help us facilitate your request, please complete and submit the form below.

Requests for speakers from Minority Veterans of America should be made at least six weeks in advance of the event. If the request is submitted less than six weeks prior, we will do our best to accommodate you but cannot guarantee the availability of a speaker.

Please allow 3-5 days for decisions to be made. A member of the Minority Veterans of America team will contact you shortly.

Select guest speaker request:
Event Organizer Name
Your answer
Event Organizer Email
Your answer
Event Organizer Work Phone
Your answer
Event Organizer Mobile Phone
Your answer
Event Name
Your answer
Event Date
MM
/
DD
/
YYYY
Event Time
Time
:
Type of Event
Your answer
Event Location
Your answer
Event Location Contact
Your answer
What type of event is this?
Attire
What is the audience for this event?
Your answer
List number of attendees
Your answer
Affiliated Organizations (If applicable)
Your answer
Select role of speaker
Please provide details about the group/audience that would be helpful to the ED/Leader (i.e. background on the organization, organization website, audience’s interests). Background information may also be uploaded below:
Your answer
Please list officials or special guests and other speakers in attendance:
Your answer
What is the approximate time the ED/Leader will be speaking at the event?
Time
:
Is travel required for this event?
If travel is required, is travel covered by requestor?
Is there an honorarium for this speaker or is the speaker being paid a speaker fee?
Questions, comments, concerns
Your answer
Submit
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