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Speaker Requests

Speaker Request Form

To invite one of our core scholars to your event please fill out this form. Please make sure to read our Speaker Request Guidelines attached above.

* Indicates required field

Scholar Requested *

Sponsor Information

Main Sponsor *

Secondary Sponsor(s) *

What is the sponsor's mission? *

Sponsor Address *

Line 1

Line 2

City

State

Zip Code

Country

Sponsor Phone *

Contact Name *

First

Last

Contact Email *

Speech Information

Event Information

Event Date *

Speech Start Time *

Attended Expected *

# of people

Event Address *

Line 1

Line 2

City

State

Zip Code

Country

Include Building and Room Numbers

Can ALIM publicity materials be distributed at the event? *

Yes No

Will this speech be recorded? *

Audio Only Video Live Streamed Transcribed

Will there be media coverage of the event? *

Yes No

Submit

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(734) 956-0698

Home
About
Register
- Summer Program >
- Winter Program >
Media
- Blog >
- Videos >
  - YouTube
  - Other Videos
Scholars
Support
- Volunteer
- Sponsor
Contact Us
- Alim Email Sign-Up

Support Us

​Speaker Requests

​Speaker Request Form

​Sponsor Information

​Speech Information

​Event Information

Speaker Requests

Speaker Request Form

Sponsor Information

Speech Information

Event Information