Awaken Reno Request Speakers Form | Human Trafficking in Nevada

First Name *

First

Last Name *

Last

Email *

Phone number *

Type of Presentation (Click all that apply) *

This speaking event will be via Zoom

This speaking event will be in person

This speaking event will be a 15-30 minute Informational Talk (Who we are and what we do) - No Cost

This speaking event will be an in depth professional workshop/training (An hour or longer) - $100/hour

OtherOther

If event is in person, is there an option to move it to zoom if circumstances require?

Yes, we can accommodate that request

No, we do not have that capability

Are you flexible on date and time? *

Yes

No, we have a specific date/time in mind

Requested date for speaker

Requested time for speaker (leave blank if you are flexible on time but not date)

Name of organization and event organizer *

Website and/or Social Media Page

Address of the event *

Address of the event

City

State/Province

Zip/Postal

Expected Attendance *

Length of presentation *

If in person, is there the ability to use audio visuals? *

What do you hope to gain or learn from this presentation? *

Will there be an honorarium or offering taken up for Awaken?

Yes

If in person, can Awaken have an information / merchandise table?

Yes

Any additional information you'd like the speaker or Awaken to know about this event?