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Speakers

If you would like to book a member of The Disparities Solutions Center Faculty for a speaking engagement, please fill out the speaker request form and send us an email. The speaker request form includes the following information.

1. Contact Person

 

2. Organization

 

3. Phone Number

 

4. Email Address

 

5. Name of Event

 

6. Date(s) of Event

 

7. Location of Event

 

8. Brief Description of Event

 

9. Topic

 

10. Speaker Requested

 

11. Type of Engagement

 

12. Honorarium offered and amount

 

13. Will travel expenses be covered?

 

14. Type of Organization

 

15. Any other information you would like to share

 

16. How did you hear about us?