Speaker Request

Use this form to request a speaker for an event, meeting, or workshop. Please provide as much detail as possible about the event, audience, and objectives so we can identify the most appropriate speaker and support your request effectively.

Event Overview

Event title/name *

Event purpose *

What is the goal of the event?

Event description *

Provide a brief overview of the event and what the audience hopes to gain

Speaker Topics & Objectives

Requested topic or subject area *

What should the speaker present on? (example, Responsible AI, AI governance, Machine learning best practices)

Desired outcome *

What should attendees learn or take away from the presentation?

Preferred speaker

If you have a specific speaker in mind, provide their name.

Audience Information

Target audience *

Estimated audience size

Audience experience level

Event Date

Event date *

For example: January 19 2000

Event time

Event format *

Event location

(only required if in-person)

Presentation length

Supporting Information (Optional)

Additional requirements or context

Provide any additional details that may help with planning the presentation.

Supporting Materials

Requester Information

Full name *

For example, Prof. Madeline Martinez Hernandez

Email address *

Role/job title

Organization/office

Contact phone

10-digit, U.S. only, for example 999-999-9999

Preferred contact method

Phone

Review & Submit

Optional information or details