Request A Speaker

Speaker Request Form

Please fill out the following form if you would like to request a speaker for your event, class, or project. We will review your request and contact you to let you know if we are able to provide a speaker!

"*" indicates required fields

Name*

First Last

Email*

Phone*

Organization/School/Church/Group

How did you hear about World Relief?*

Tell us about your event or project:*

When are your requesting a speaker for?*

Please list your preferred dates and times.

Planned Location:*

How long would you like a representative of World Relief to speak?*

How many people do you expect to attend?*

Who is the expected audience?*

What topics are you interested in?*

What kind of participation would you like from a World Relief representative?*

Panelist or Content Contributor

Keynote Speaker

Prerecorded Video (Choose from our current library)

Do you have the technology for a PowerPoint Presentation?*

Yes

No

Is there anything else we should know?

We receive a high volume of requests for speakers. Our ability to provide speakers is dependent on funding.*

We will provide an honorarium.

We will take a collection or special offering.

We are unable to make a contribution.

Please explain why you are unable to make a contribution:

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