Request a Speaker

What kind of speaker are you looking for?*
If you chose "other", please specify
Are you looking for a speaker, who is ...
- an elder
- a council member
Want to request a specific person?
If you have a speaker in mind that you would like to request, please specify their name here.
First Last
Event Details
Event Name*
Host Organization*
Please tell us more about your event.*
Event Date*
Note: All requests must be made at least 1 week before the event (preferably earlier).
Date Format: MM slash DD slash YYYY
Start Time*
Please specify the time at which you would like the speaker to start speaking rather than the event start time.

HH :

MM
End Time*
Please specify the time at which you anticipate the speaker will be done speaking rather than the event end time.

HH :

MM
Event Website
Event Social Media
Event Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
More
Space for further comments, questions, concerns.
On-Site Contact Person
Name*
First Last
Phone*
Email*
Main Contact Person
Please specify who you would like us to contact to set up the speaking engagement (if different from on-site contact).
Name
First Last
Email
Phone

Note: All requests must be made at least 1 week before the event (preferably earlier).

Honorariums for speakers are appreciated. For smaller organizations the recommended minimum honorarium is $100.

Please be aware that our community representatives receive a high volume of speaking requests on top of existing work and responsibilities so we cannot guarantee that a speaker will be available for the date requested. The earlier you submit a request the better the chances are that we can help facilitate it.

Request a Speaker

Event Details

On-Site Contact Person

Main Contact Person