- Center on the Developing Child at Harvard University -
https://developingchild.harvard.edu
-
Presentation Requests
Posted By
Al Race
On
May 20, 2015 @ 5:35 pm
In |
Comments Disabled
Presentation Request Form
CONTACT INFORMATION
Primary contact person at your organization for this request:
First name
Last name
Name of your organization:
Email address:
EVENT INFORMATION
Title of the event for which you are requesting a speaker:
Virtual or In-Person.
If in-person, please share the specific location.
Date of the event.
If this is a multi-day event, please indicate the specific date for which you are requesting a speaker. If the date is flexible, please share the time frame.
I would like to request the following individual to speak at this event
(
if you do not have a specific individual in mind, please leave this blank
)
:
Audience of this event (size/expertise):
Purpose of this event:
Type of presentation you are requesting (check all that apply):
Please select...
Keynote
Panel
Plenary
Roundtable
Small Meetings
Web/Video Conference
Other
If other, give more information here:
Length of presentation you are requesting
(
approx. length in minutes
)
:
Have other speakers accepted invitations to speak at this event?
Yes
No
Please list any other speakers who have accepted invitations to speak at this event, as well as a brief description of the topics their presentations will cover.
Additional comments/questions:
The Center on the Developing Child respects your privacy. We will only use the information you provide here to contact you regarding this request for information and any follow-up communication related to it. Please check the box below to confirm that we may contact you for this purpose.
Yes, please contact me regarding this request.
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Contact Information
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