MFCF COVID-19 Guest Speaker Registration Form

Guest Speaker Registration

Please complete the form below to volunteer as a guest speaker on our organization's 2020 Community Calls.
Your Personal Details
Name (contact person if submitting on behalf of an organization): *

First Name Last Name
Organization Name (if applicable)
E-mail: *
Phone Number:

Area Code Phone Number
Preferred Method of Contact *

Call Text Email Any
Address (optional):

Street Address

Street Address Line 2

City State

Zip Code
If you did not insert your address above, please insert your nearest Metropolitan Area (ex: Houston, Detroit, Los Angeles, Chicago, etc.)
Check all that you have access to: *

Computer Cell Phone Internet
If you or someone in your household have been negatively impacted by the current COVID-19 crisis, please share here (optional):
Guest Speaker Preferences
Frequency
Please select "permanent" only if you intend to provide a presentation at each weekly meeting. Permanent presentations are limited to 10 minutes.
Please indicate which topics you are interested in presenting (check all that apply): *

Food Security COVID-19 Disease Trends & Findings Health Insurance Primary Health Care 2020 Census Prison Reform/Prisoner Conditions Student Loan Debt Digital Divide Education Retirement Financial Wellness/Credit Healthy Lifestyles Entrepreneurship/Business Resources Legal Services Mortgage/Rent/Property Tax Relief Transportation/Delivery Services for the Community Grants/Scholarships COVID-19 Legislation Promoting a Product/Service/Minority-Centric Organization
Provide a title and description of your presentation that can be used in marketing materials: *
Are you familiar with/have you used Zoom Video Conferencing before? *

Yes No
Please upload your bio or your company's background info (optional)

Upload

Cancel of
Please upload any materials you would like to share regarding your presentation (optional)

Upload

Cancel of
Would you like us to poll participants during your presentation?

No Yes
Would you like us to feature you/your organization in our partner spotlight?

No Yes
Which day(s) do you prefer to present?

Sep 9 Sep 23 Oct 14 Oct 28 Dec 2 Dec 16 Dec 30
Please refer to the following for important access info regarding the meetings.

You can subscribe to text alerts for this meeting by clicking here: https://slkt.io/6qn8 or texting "mifreedom" to 31996
By submitting this form you agree for your information to be added to our email list.
Thank you, please forward any questions you have to us via email to tequion@mifreedomcf.org
Please verify that you are human *
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