Polaris Speaker Request Form
Speaker Fees
Polaris is a non-profit organization that strives to balance promotion of the movement with sustainable funding for our mission. Polaris welcomes the opportunity to discuss a Speaker’s Fee or Honorarium in support of your event. Importantly, Polaris will never expect a fee or honorarium from another NGO in the anti-trafficking movement for our participation.

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Email *
Requester Name (First, Last) *
Event Name *
Host Organization *
Event Type *
Is there an option for virtual participation? *
Speaker Requested Date & Time *
Presentation Length (hours, minutes) *
Location (City, State) & Venue *
Event Start & End Dates
Anticipated Audience Size for Polaris Presentation *
Audience Composition & Description *
Presentation Topic
What specific topic(s) do you want Polaris staff to present on? (e.g. broad overview of trafficking, trafficking of LGBTQIA youth, etc.)
Event Description *
Provide a few sentences describing the purpose, theme, goals, etc. of the event. Also include how the requested speaking engagement fits into the overall theme of the event.
Event Website
Requested Speaker (if known)
If known, please indicate specific individuals or teams you would like to speak at your event.
RSVP Required By *
When does Polaris needs to reach back out to RSVP yes or no to speaking engagement?
Can Polaris post about this event via social media? *
Additional Notes
Any other pertinent information (e.g. point of contact, connection(s) to Polaris/staff, if Polaris has engaged in this before etc.)
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