Name of suggested speaker (or speakers if you suggest an "in conversation"/interview or a panel) and their title and place of work
Your answer
Suggested topic
Your answer
Why are you suggesting the speaker/topic? (e.g. current events, historic anniversary, you heard them elsewhere and they were great, we haven't had a program on x topic recently, to help diversify our speakers or topics, etc.)
Your answer
Please select which type of event you think is best for the suggested speaker/topic (any can feature one or more speakers).
Clear selection
Please provide any contact information you have for the suggested speaker
Your answer
Do you have a personal connection with the suggested speaker?
Clear selection
Please share any other details you would like us to know about your suggestion/s that you have not yet included. (e.g. suggested co-hosts for the event; potential sponsor(s); your connection with the suggested speaker if you have one, speaker is in area during a specific time, etc.)