Request a Speaker or to get more information

Thank you for your interest in working with the UNH Speakers Bureau! Before requesting a speaker, please review our general guidelines.

This form can be used to request a speaker or to get more information about our speakers and programs. Items in bold are required. Please fill in as much information as you can as it is extremely helpful as we contact speakers.

The Speakers Bureau staff will contact the appropriate faculty or staff member to obtain more information and/or to arrange the program.

Name of Organization:
Name of Partner Organization (if applicable):
Contact Name:
Mailing Address:
City:
State:
Zip:
Phone:
Email:
Are you a non profit?		YES \| NO
Mission of the Organization:
Website:
Please tell us when you are interested in having a speaker. If there are multiple possible dates and times, please let us know in order of preference.
Date Requested:
Talk Choice 1:
Talk Choice 2: