Diversity, Equity & Inclusion Speaker Request

The Chamber's Diversity, Equity and Inclusion Task Force is a resource that will assist area businesses and organizations in seeking speakers for events with topics related to Diversity, Equity and Inclusion.

Filling out this form does not guarantee that the Chamber can find or provide a speaker that will fill your needs.

Fields marked with an * are required.

Today's date *

Contact Information

Name of your company/business *

Your First and Last Name *

Phone Number *

Email *

Event Information

What is the Date, Time and Location of your event? *

If you do not currently have a date, time and location please indicate that you are open to options.

What type of speaking engagement are you looking for? *

What is the subject matter/topic you're seeking? *

What is the size of your group? *

Speaker Information
This section is to help us better understand the needs of your organization.

Speaker Compensation *

Our Task Force has access to a wide variety of potential speakers please indicate below what type of compensation you may consider for a speaker.

Speaker Compensation *

If possible are you willing to share the expense of a speaker with other businesses in the area?

Note
You will receive a confirmation email after submitting this form. If you do not receive it, please check your junk mail.

Please share any additional information we may need.

Please verify that you have checked the “I'm not a robot” checkbox.