Center for Africana Studies Speaker Request Form

Those wishing to request a speaker or presentation by Center for Africana Studies faculty or affiliates should complete the form below. Someone from our team will get back to you to confirm details as soon as we are able.

Contact Name Contact Name First Last
Contact Email
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
Website (if applicable)
Inviting Organization/Individual
Do you represent a company, non-profit organization, other group, or self?

Do you represent a company, non-profit organization, other group, or self? Company Non-Profit Other Group Self Other Other
Event Information
What is the event or gathering for which you seek a presenter? Please share all relevant details.
Event Start Date Event Start Date / MM / DD YYYY
Event End Date Event End Date / MM / DD YYYY
Who is the audience for this event?
How large is the audience?
Is the event virtual or in-person?

Is the event virtual or in-person? In Person Virtual
Do you seek to have it recorded?

Do you seek to have it recorded? Yes No
Provide any additional details about the speaker request.
What form of compensation are you able to provide?

What form of compensation are you able to provide? Speaker Honorarium Donation to the Center for Africana Studies (CAfS) Other Other

Center for Africana Studies Speaker Request Form

Center for Africana Studies Speaker Request Form

Event Information