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Speaker Requests

ALIM Speaker Request Guidelines

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

Suggested Topic/Title *

Duration *

Honorarium ($) *

Speech Format *

Singular Topical Speaker Panel of Speakers Teacher of a Course Other

Will there be Q&A? *

Yes No

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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