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NDSS Staff Speaking Engagement Request
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Submit your information below to request an NDSS staff member for future speaking engagements.
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NDSS Staff Member you are requesting:
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Last
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Date and time of event or speaking engagement
Date and time of event or speaking engagement: Date
Date and time of event or speaking engagement: Time
Requested topic, subject or focus
Description of event or engagement
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Description of who will be in the audience
Is this event or engagement in person, via phone, via video conferencing
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In person
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Via video conferencing
If this engagement requires travel please specify the anticipated travel itinerary.
Are you able to cover travel costs for staff requested including airfare, lodging, and meals? Please note that our self-advocate staff members require one additional staff member to accompany their travel.
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Are you able to cover speaker honorarium?
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If you checked yes, please provide your intended honorarium range in dollars.
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