Speaking Engagement Request Form

Complete this form to request an Ohio History Connection staff person to speak at your upcoming event.

"*" indicates required fields

Organization Name *

Contact Person *

Name of the person OHC staff should contact regarding this request.

Contact Email *

Contact Phone

Name of Event

The event for which a speaker is being requested.

Event Type *

In-Person

Virtual

Event Location

Full street address preferred.

Event Date *

Event Start Time *

Event Duration (approx.) *

The approximate duration of the entire event.

Speaker Time Commitment *

The approximate amount of time our speaker will be asked to fill.

Requested Topic *

Please be specific as this will help us find the right speaker for your event.

Other Time Commitment

Please describe your expectations for the speaker being requested.

Audio/Visual Needs

Power Point, projector, etc.

Tabling or Other In-Kind Requests

Phone

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

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Speaker Request Form