Request a Speaker for Your Upcoming Event

Your Name*

First Last

Email*

AAUW Branch or Affiliate Name*

AAUW State*

Your AAUW Leadership Role*

Are you the main contact person for the event?*

Yes

No

Main Contact: Name*

First Last

Main Contact: Email Address*

Date(s) of the Event*

Is this event virtual or in-person?*

Virtual

In-Person

Are you willing to pay for travel (lodging and transportation) costs?*

Yes

No

Location of the Event*

Are you open to virtual participation?*

Yes

No

Type of Event*

If your event has a theme, please describe:

Why are you interested in having staff or a national board member participate in this event?*

What are your goals for this event?*

(What do you hope to accomplish during the event?)

Is there a fundraising component to this event?*

Who is your target audience for this event?*

(eg., AAUW members, students, etc.)

How many people do you expect to attend?*

Is this a multi-branch event?*

Yes

No

If this is a repeat event, how many people attended last time?*

Have you had an AAUW National speaker in the past for this event? If so, who?*

Type of content requested*

Keynote speech

Fill out the form to request a speaker for your upcoming branch or state event.