Speaker's Bureau

Our District Rotary Clubs are continually seeking good informational and motivating speakers to talk to our clubs. If you have a speaker that can provide good content in a non-political and non-religious context, fill out the form below and our team will followup.

Any questions or comments, contact:

Louisa Roberts or PDG Arley C. Marley III

Your Name*

First Name Last Name

Club Name*

Club Name is required from above drop down list

Your E-mail*

you@example.com

Best Phone Number*

Area Code Phone Number

This section is information about the presenter. Club member contact information should NOT be used and only creates confusion!

Presenter Name

First Name Last Name

Topic

Brief Description

Best way to contact speaker

PhoneE-mail

Speaker's Phone

Area Code Phone Number

Speaker's E-mail

example@example.com

Speaker's ability*

Able to hold audience attention?Easily worked with club program committee?Performed well during Q & A?Stayed within given timeframe?

Was club happy with speaker's performance?*

YesNo

Have you seen this speaker present?*

YesNo

Do you have a video of his/her presentation?*

YesNo

Do you have the speaker's bio?*

YesNo

Is speaker available on short notice?

YesNo

Has speaker given permission to be listed in our Speaker's Bureau?*

YesNo

If available, provide a link to a website or other media source referencing this speaker.

Additional comments

Explain in detail

*