TRC Speaker Form

"*" indicates required fields

Name*

First Last

Organization*

Address/Location

Your email*

Your Phone Number*

Please describe the event for which you are requesting a TRC speaker or speakers (i.e., the speaking topic and who is the anticipated audience):*

What key messages or questions would you like speakers to address?

Number of Requested Speakers (Panel or Single Speaker)

Date & Time of Event (Actual Date/Time or Timeframe)

Virtual or In-Person? If in-person, please describe the venue any logistics:

Will this event be open to the public? If yes, please describe:

Will this event allow media / recording? If yes, please describe (this will influence what speaker(s) would be comfortable participating):