Request a speaker — Sojourner

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Request a speaker

Please complete the form beloW

Name

First and last name of a contact person for the event.

First Name

Last Name

Email

Phone

(###)

###

####

Organization/company name

Name of event

Subject

Describe the event/request (please include type, purpose and topics you’d like included)

Audience (who will be there, expected size)

Event date (1st choice)

MM

DD

YYYY

Time

Hour

Minute

Second

Event date (2nd choice)

MM

DD

YYYY

Time

Hour

Minute

Second

Additional information

Length of requested presentation (e.g., 15 mins.)

Event format

Is your event in-person or virtual?

In-person event

Virtual event (call in or video conference)