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Request a CAPCA Speaker
Welcome to CAPCA's Speaker's Bureau. To request a speaker for your group, please fill out this form and click SUBMIT at the bottom. All fields are required. If you have questions, please e-mail speakers@capca.net.
Your Name
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Your Organization
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Your E-mail
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Your Contact Phone
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Location/Address of Event
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Date of event mm/dd/yyyy
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Time talk starts
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Approximate length of talk, including questions.
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Topic desired. Please explain details.
(*)
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Predicted audience knowledge of topic
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well-informed
moderately-informed
know very little
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Please explain any other information the speaker should know about the event or the audience.
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Expected attendance (number)
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Do you have a laptop?
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Yes
No
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Do you have a computer projector?
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yes
no
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Do you have a projection screen?
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yes
no
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Do you have a microphone?
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yes
no
small room, microphone unnecessary
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What is the dress code for the event?
(*)
Casual
Business attire
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Please click the box if you're not a robot.
(*)
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Please submit your request for a speaker.
SUBMIT