Request for an NJCAHT Speaker
Please use this form to request a speaker or speakers for your event, or to bring awareness to an organization, school, community group or other gathering of interested people.

NJCAHT speakers offer their time for free.

Your full name *
Your answer
Your email address *
Your answer
Your contact phone number *
Your answer
Your organization/school/group *
Your answer
Speaking venue address *
Your answer
Purpose of event *
Your answer
Preferred event date *
MM
/
DD
/
YYYY
2nd choice event date
MM
/
DD
/
YYYY
Preferred event time *
Time
:
Duration of speaker engagement *
Your answer
Target audience *
Required
Approximately how many are expected in the audience? *
Your answer
Specific area of human trafficking interest *
Required
Format of the event *
Required
Honorariums/Travel Expenses. It is not required to pay for any presentation, some organizations like to make a donation to the NJCAHT or offer the speaker travel expenses *
Is the host organization a member of the NJCAHT? *
Submit
Never submit passwords through Google Forms.
This form was created inside of New Jersey Coalition Against Human Trafficking. Report Abuse - Terms of Service