ALTSD Speaking Requests

Please complete this form when requesting the Office of the Secretary be present at an event.

Name(Required)
ALTSD Division(Required)

Whose presence are you requesting for the event?(Required)
Is this a speaking request, appearance request or other type of event?(Required)

MM slash DD slash YYYY
Include organizer's name, email and phone number.
If the speaker is required to address the attendees, will they need any of the following?(Required)

1. How long is the speaker expected to talk?
2. How long is the entire event?
3. How long is the speaker expected to be present at the event?
Please list any information about the sponsoring organization and any key dignitaries or stakeholders who will be in attendance or also speaking at the event.
If there are any event pages (such as a website) or any additional information that would be helpful in planning, please let us know here.