CAIR-TX Austin & DFW "Request a Speaker" Application

CAIR-TX Austin & DFW "Request a Speaker" Application
Hello! Thank you for contacting CAIR-TX Austin & DFW to request a speaker. We are excited to engage with your audience! Some common talks that we have offered in the past include:

- Know Your Rights
- Overcoming Islamophobia
- How to be an Ally
- Islam 101 with Q&A
- Understanding Sharia
- Women in Islam
- and more.

Please fill out this form to the best of your ability. We will do our best to get back to you within two to three business days of your application submission. Please allow at least two weeks before an event to request a speaker. If you have any questions, please contact info@cairdfw.org or call (469)200-0273
Contact Person's Information
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Organization & Event Information
Name of Organization*
Title of Event*
Date of Event*

MonthDayYear
Date
Time of Event*

:HourMinutesAM/PM Option
Location & Address of the Event*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Tell us more about your event*
Describe the event and what you are looking for
List Other Speakers, if Any
Describe Audience*
Number of guests, ages, interests, etc.
Is the Event Recorded*

YesNo
Is the Event Open to the Public*
Speaker Expectations

What do you expect from a speaker? Please be as specific as possible. Please include expected speaker topics, length of speaking time, and other expectations.
Speaker Expectations*
What time should the speaker arrive?*

:HourMinutesAM/PM Option
Do you have a budget for honorarium or travel reimbursement?*
Anything to Add?
Do you have any other comments or information to provide?
Please verify that you are human*
Should be Empty:

CAIR-TX Austin & DFW "Request a Speaker" Application

Contact Person's Information

Organization & Event Information

Speaker Expectations

Anything to Add?