Request a Speaker

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 possible as it is extremely helpful when we contact speakers.

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

Please note that as of July 1, 2012, a new Speakers Bureau model will take effect. The Speakers Bureau Web site will be updated to include speakers contact information, thus enabling clients to contact members of the Speakers Bureau directly to arrange and schedule speaking engagements.

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:
Program Choice 1:
Program Choice 2:
Program Choice 3:
 
Event Time:
Location of event:
Location Address:
Location City:
Location State:
Location Zip:
Anticipated Audience Size:

(Please note: because of the significant time commitment made by our speakers for each event, organizations should only request speakers for events that are expected to draw at least 10 people.)
Anticipated Age Group:
Additional details about your organization, audience or event that would assist in making this engagement:
Please tell us how you will be publicizing this event:
Is there a specific date that you need to have the speaker confirmed by in order to meet deadlines for publicity or the like? Please let us know. We will do everything possible to meet that date:
Is this a public event that can be promoted on the Speakers Bureau website and other UNH Calendars? YES | NO
Have you or your organization used the Speakers Bureau in the past? YES | NO
If so when?
How did you hear about the Speakers Bureau?:
Comments or questions:
Please enter the word "speaker" into the box, so we know it's not spam.