Event or Speaker Request Form
Organizational Information
Company/Organization Name
*
Type of Organization
*
Please Select
School or other educational group
Nonprofit or NGO
Government Agency
For profit entity
Other
Contact Person's Name
*
First Name
Last Name
Contact Person's Email
*
example@example.com
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Event Information
Are you interested in a virtual or in person event?
*
Please Select
Virtual
In person
Open to either
What type of event are you interested in?
*
A live presentation (one speaker) with Q&A
A live discussion with multiple speakers and a Q&A
A docent led-tour of the museum.
A tour of the archives.
A virtual tour of the museum and/or archives.
Other
How much time do you have for the event?
Please Select
Up to 30 minutes
30-45 minutes.
45-60 minutes.
More than 60 minutes.
Please choose the best option below, and add any additional comments in the description box.
Description
Please use this field to add any information available about the event (i.e. themes, goals, target audience), and to add any additional context for the selections above.
What topics or themes are you interested in hearing about?
Providing some specific topics or general areas will help our staff match you up with the best speaker available.
What dates and times are you considering for your event?
*
You can include specific dates or ranges (i.e. March 20, "any Wednesday afternoon" or "late June").
Will you need assistance with tech/event set up?
*
Please Select
Yes, we will need event set up assistance.
No, we will not need event set up assistance.
For example, will your team create a web meeting or will ours?
Are you interested in sponsorship opportunities?
Please Select
Yes, please tell me more about sponsorship opportunities.
No, we are not interested at this time.
Sponsorships are a great way to showcase your support for the GLBT Historical Society, and can add significant value to your event budget.
What is your budget for this event?
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