ELECTRONIC SPEAKER REQUEST FORM
The Environmental Support Division coordinates
requests for environmental speakers. Each inquiry is carefully evaluated to
identify the needs of the audience and determine the most suitable
presenter. Requests for speakers are given prompt, courteous attention and
filled in a timely manner. Please submit event information at least one
month prior to the event date. To request a speaker, submit the following
information or contact Veronica Seymour at 517-284-6890
or e-mail EGLEemail@example.com.
must enter information in these fields before submitting your request.
* Requestor's Name:
State and Zip Code:
* Phone (Area Code/Number):
Trade Association or Group Affiliation:
If you are submitting this
request on behalf of an association, please enter the name of association.
Name of Event/Speaking Engagement
Please enter name of event.
* Event Date:
Please enter description.
Is this a K-12 school audience?
Estimated Number of People Attending Event:
Presentation Topics/Content Requested:
Please enter the environmental topic(s) the presentation
Deadline Date for Response:
Please enter the date you would like for us to inform you
whether we can or cannot fill this request.