Request a Speaker

Staff Members from our agency are available to speak at your organization or attend your event to share information about our programs and services. Please provide two to three weeks notice of your event in order to schedule a speaker. We will consider all requests and make every effort to fill requests based on availability of staff. Complete the form below to request a speaker then press the submit button.

*Full Name:
*Organization:
*Email :
*Phone Number:
Event Type:
*Event Name:
*Event Date:
*Event Time:
*Event Overview:	Please provide more detailed information regarding the event.
*Event Arrival Time:
*Event Address:	(please include the name of the building)
*Length of Presentation or Event:	(if a tabling event or resource fair)
*Requested Content:
*Number of Attendees:
*Will you be doing any media outreach for this event?:	Yes No
Can Images be shared from this event on Social Media?:	Yes No
Other Information :	Please let us know of any other pertinent information such as parking requirements, exhibitor fees, or other requested presentation content and event types.