JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Requesting a Speaker?
Thank you for your interest in having a Sisters In Christ speaker at your event. In order to help us facilitate your
request,
please complete the following form and send any corresponding attachments to
sisters@sistersinchristkc.org.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name Of Organization Submitting Request
*
Your answer
Coordinator/Point Of Contact
(Name, Title, Email, Phone)
Your answer
Event Name/Title
*
Your answer
Event Location
*
Your answer
Event Date/Time
*
Your answer
Event Type
(Conference, Dinner, Small Group, etc.)
*
Your answer
Event Purpose/Goal
*
Your answer
Event Website
(if applicable)
Your answer
Requested Sisters In Christ Team Member
*
Your answer
Requested Topic
*
Your answer
Presentation Format
(Keynote Address, Roundtable, Panel, etc.)
*
Your answer
Requesting In-Person/Virtual Attendance
*
In-Person
Virtual
Will You Accept A Pre-Recorded Message?
*
Yes
No
Expected Duration
(30 minutes, 1 hour, etc.)
*
Your answer
Audience
(Approximate size of the audience)
*
Your answer
Honorable Guests
(List names and titles of CEOs, or other VIPs participating in, or attending, the event.)
*
Your answer
Media
(Will the media be invited? If so, will the event be open or closed press? Also, please describe and submit media list.)
*
Your answer
Deadline For Acceptance
*
MM
/
DD
/
YYYY
Cost Of Attendance
*
Your answer
Offer Of Payment/Reimbursement
(None, Dining, Lodging, Travel, etc.)
*
Your answer
Additional Relevant Information Or Requests
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Sisters In Christ KC.
Report Abuse
Forms
