Speaker Request Form: Election Protection Ambassadors
Election Protection Ambassadors are nonpartisan voting advocates who can educate your group/community about everything they need to know about the upcoming elections and ensure you are prepared to cast your vote with confidence.
Fill out the form to request a speaker
Email address *
First and Last Name
Phone Number
Tell us about your work/community group
Expected number of participants
Requested Date
MM
/
DD
/
YYYY
Requested Time
Time
:
Is the date and time of your event flexible? Please note any alternative date/time requests.
How long does the speaker have for a presenation and Q&A?
Will this be an in person or virtual event?
Clear selection
If this is a virtual event, do you have the tech capacity to host the event via video conference or webinar?
If you are interested in an inperson event, please tell us more about the location and what safety measures will be in place to ensure social distancing.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy