Request A Speaker - Colorado Refugee Connect

Requester Name*

First Last

Requester Email*

Requester Phone*

Requesting Entity Name & Purpose*

Please provide your organization/entity's name and share briefly about the purpose of your organization/entity.

Event Date*

Event Start Time*

:

Event End Time*

:

Event Type*

Amount of time you would like the speaker to talk*

Time you would like the speaker to arrive*

:

Expected Number of Attendees (An estimate is fine)*

Event Location*

Event Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

We are happy to promote events where possible. Would you like CRSB to share publicly about this event?*

Yes, we are happy for you to share about this event in advance.
No, this event has a defined audience and/or is not open to the public.

Can you help us share about our work? Please select any/all of the ways in which you can support:

Record the event and share it with CRSB for internal learning/training purposes only
Record the event and allow it to be shared publicly (social media)
Take a photograph/photographs/screenshot of the speaker presenting

Additional Event Details

Will transportation be provided?

Note that many speakers can provide their own transportation, but that coordinating transportation may be a useful support.

Will an honorarium be provided to the speaker?*

We recommend that requestors consider some type of honorarium to recognize the experience and time speakers commit to this work.

Honorarium details, including amount.*

There are no set honorarium amounts. Use the following ranges to decide on an appropriate amount for your group. We will work with your group to coordinate a speaker regardless of the amount you are able to offer (including groups that cannot pay). School group/faith community/small group gathering: $50-75+, medium-size gathering/panel engagement: $100-$200+, large event/conference/fundraising event: $250-$1,000+.

Please select a few topic(s) you are hoping the speaker can address.*

Are there any additional topics not listed above that you would like the speaker to address? If so, please share the topic you’d like to have addressed and why.

What do you hope the audience gains from this speaking engagement?*

How did you hear about the Colorado Refugee Speakers Bureau?*

Name

This field is for validation purposes and should be left unchanged.