Official Speaker Request Form

Thank you for your interest in having a Subject Matter Expert from our agency deliver remarks at your upcoming conference, meeting or special event. To process your request and ensure our agency identifies the speaker to best meet the expectations of your organization, please complete the form below.


*Please note that the information you provide will only be used to determine if a Subject Matter Expert within our agency can be scheduled for the requested event and to contact you regarding your request. Once we have determined if a speaker can be arranged for the event, we will notify you accordingly.*

Contact Details





Event Details






Summary of request

Please list other officials or special guests to attend, including name/titles

Is the event open to the public?
YesNo

Is there an admission fee?
YesNo

Is the event open to the press?
YesNo

Expected Attendance (estimate)