Request a Shineforth Speaker

We’re excited to connect with you! Please fill out each of the sections below. If you have any questions, please reach out to Sarah Beam at [email protected] or 804.495.2093.

Speaker Request

URL

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Your Name(Required)

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Which affiliation best describes you?(Required)

Please share more about your affiliation.

Church, Organization, or Agency Name:(Required)

Phone:(Required)

Email:(Required)

Do you have a preferred method of contact?

Address:(Required)

Where will the speaking opportunity take place? If this is a virtual event, please type “Virtual” here.

Date(Required)

When will the event take place?

What is the timeframe of the event (i.e. 8-11 am)?

Who is the audience?

How many attendees do you expect?

Please enter a number greater than or equal to 1.

How much time will be allotted for the speaker?

Does the audience have a specific interest or Shineforth program/service affinity that we should be aware of?

Is there a particular Shineforth staff member who you would like to come speak? If so, please list who that is here.

Please select all that apply.(Required)

There will be an audio/visual component, and I would like Shineforth to have a PowerPoint and/or video for the event.

I would like to request printed materials for the event (i.e. annual reports, bulletin inserts, program booklets, etc.)

There will be space for Shineforth swag and giveaways.

None of the above apply.

Please provide any relevant details that we should know about the day of the event and/or preparation needed prior to the event.

You can elaborate on any of your above selections in this space. Do you have any questions for us?

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