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MAND Speaker's Bureau - Request for Speaker
The Maryland Academy of Nutrition and Dietetics has established a Speakers Bureau that connects local groups and organizations with nutrition professionals for speaking engagements or presentations.
Please fill out the form below to request a speaker for your organization.
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* Indicates required question
Email
*
Your email
First & Last Name
*
Your answer
Organization/Company/Agency
*
Your answer
Phone Number
*
Your answer
Email
*
Your answer
Event Location (physical address)
*
Your answer
Event Name and Purpose
*
Your answer
Event Date
*
MM
/
DD
/
YYYY
Start time
*
Time
:
AM
PM
Speaking time duration
*
Your answer
Speaking topic and/or expertise area
*
Obesity/Weight Loss
Cardiovascular (Heart) Health
Health Promotion and Disease Prevention
Family Nutrition
Complementary and Alternative Medicine
Diabetes
Geriatrics
Kidney (Renal) Disease
Sports Nutrition
Culinary Nutrition
Corporate Wellness
Other:
Required
Age of target audience (i.e. children, young adults, adults/parents, seniors, etc.)
*
Your answer
Describe the target audience group (i.e. name of school, workplace staff, religious organization, social club, etc.)
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Your answer
Estimated number of attendees
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Your answer
Would you like the speaker to provide a food demonstration and/or form of food preparation for the group? If so, please describe in detail and include what type of reimbursement will be provided to the speaker.
*
Your answer
Will you be able to provide an honorarium, if requested? (Note: Speaker fees are negotiated between the organization requesting services and the speaker)
*
Yes.
No.
It will depend on the fee amount.
Please describe any other details about the event, attendees and/or requests of the speaker.
Your answer
A copy of your responses will be emailed to the address you provided.
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