Speaker Request Form

Are you looking for an Appleseeder to share more about what we do and the issues we work on? In order to best help you, please fill out the speaker request form below, providing as much detail as possible. 

We recommend submitting your request at least three weeks before the event to allow us to process your request and respond to you.

First Name
Last Name
Organization
Email
Phone number
Event Name
Date
Time Frame
Location (include full address if in person or write “virtual” if it is online)
Type of Request:


Please include the details of your request in the comment box below. Here are some questions to think about when writing your request (Who will be the audience?
How many people will attend?
Are there specific topics you want us to focus on?
How familiar is the audience with the topic we would present on?
Would you like us to use a PowerPoint or other visuals for the presentation?
Would you like us to bring Appleseed-branded materials to hand out?):
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