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Governance Document

Leadership Request

Request a member of leadership to speak at your event.
Published: August 14, 2020

Fill out the form below to request a speaker at your event.

Officer and Executive Committee Speaker Request Form

Time Zone
Will this event be held virtually?
Are videotaped remarks preferred/requested or is an acceptable option to attend via live web conferencing?
Web-Conferencing Technology (if available)
Is this event located outside of the United States?

Venue Information

Hotel and Transportation

Remarks Required?

Best person to contact for remarks

Are other activities planned with this event that will include speaker?
Will there be Q&A?
Are there other notable speakers invited and/or confirmed on program?
Have you produced/plan to produce a press release for this event?
Have any media been invited or confirmed on the webinar?
Consult with experts to identify IF press release and/or media outlets are relevant during COVID.

Primary Contact Information

PR/Media

CAPTCHA
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Merritt Island High School Physics teacher and mentor Diane Wallschlag (Left) with her mentee and high school science, biology and chemistry teacher and colleague, Andrea Williams (Right).

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