Speakers Bureau Speaker Request Form | Edson College of Nursing and Health Innovation

Edson College Speakers Bureau Speaker Request Form

This form can be used to request a speaker or provide information for a speaker once they have been confirmed. You can access a full list of speakers and their areas of expertise here: https://nursingandhealth.asu.edu/engage/speaker-bureau. There is NO CHARGE for this service.

Name of Organization:

Contact Person Name, Email, and Phone Number:

Location of event (with parking details):

Date of Event:

Time of Event:

Speaker requested (choose up to three in order of preference, or let us know your topic and we will select a speaker for you):

Topic you'd like speaker to address:

Length of Presentation:

Will AV be available?