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Presentation & Speaking Engagement Requests
Please fill out the following form.
First and Last Name
Email
Name of Organization/Institution
Your Role
Name of Event/Engagement
Length of speaking engagement
Proposed Topics: Please provide detailed information on the topics you are hoping to cover, including who else will be speaking at the event.
Requested time/timeframe - include timezone (indicate if flexible)
Requested date (indicate if flexible)
Format
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Other:
Type of Request
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For in-person/hybrid: what is the location?
Q&A session with audience?
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Budget
Who is your audience? Please include anticipated total number of attendees, type (e.g. staff, leadership, board, internal/external to organization, etc.), and any other relevant information.
Additional Comments
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