Speaker Payment Acknowledgement

Speaker Information Website:

https://hr.okstate.edu/talent-development-recruitment/td-approved-speakers.html

Date Date / MM / DD YYYY
Department Name:
Speaker Name:
Topic or Title of Event:
Event Date: Event Date: / MM / DD YYYY
Time: Time: : HH MM AM/PM
Rate for Payment:

This information will be used to encumber funds for speaker payment.
Fund Number:
Department Contact Name:
Department Contact Phone: Department Contact Phone: - ### - ### ####
Department Contact Email:
This agreement is in partnership with Talent Development & Recruitment.

Talent Development & Recruitment agrees to process payment on behalf of the department listed to the speaker/facilitator selected, for an instructor-led, coaching, or keynote speaking event.

This event will be paid for solely by the department listed with Talent Development & Recruitment administering payment to the speaker.

I understand that in order to fully process payment I must contact Talent Development & Recruitment once services have been performed by the hired speaker/facilitator. If any cancellations occur, I am responsible for contacting Talent Development & Recruitment.
I certify the above statement:

I certify the above statement: Electronic Certification
Please type your name for electronic signature: Please type your name for electronic signature: First Last
Date: Date: / MM / DD YYYY