JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Request for DEI Speaker funding
To request funding for a speaker, complete and submit the online request form.
Please permit up to four weeks for a response.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Your Name
*
Your answer
Name of speaker
*
Your answer
Speaker bio
*
Your answer
Link to speaker's website (if they have one)
Your answer
Topic of discussion (choose all that apply)
*
Diversity
Inclusion
Equity
Antiracism
Social Justice
Other:
Required
Additional information about expected talking points
Your answer
Speaker fee, if unknown please share an estimated budget need for this request
*
Your answer
Co-sponosr(s) for the proposed event, if any
Your answer
Amount of money raised by co-sponsors, if any
Your answer
Add anything else you think would be helpful to this request.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Delaware.
Report Abuse
Forms