Request a Speaker - Midwest Innocence Project

Speaker Request

Name of group or organization(Required)

Website of group or organization(Required)

Your Name(Required)

First Last

Your Title/Relationship to Group/Organization(Required)

Email(Required)

Phone

Location of Speaking Engagement(Required)

Virtual

In Person

Location of in-person event(Required)

If in-person event, would it be possible to present virtually?(Required)

Yes

Date and time of speaking engagement(Required)

If you are considering several dates, please include all possible options.

Format and length of speaking engagement(Required)

For example, indicate if a single speaker presenting or a panel, and indicate how much time should be presentation and how much on questions and answers.

Size of audience(Required)

What kind of speaker would you like?(Required)

Legal Staff

Exoneree

Client Services Staff (intake, social work)

Engagement Staff (development, community outreach)

Other

Please provide any other relevant details about your request(Required)

For example, theme of event, willingness to provide honorarium, etc.