Request a Speaker

The University will close December 19 for Winter Break and reopen January 5. Mason Speakers will not be operating during that time. Please submit one form per speaking engagement request. Do not make a request more than eight months in advance, as speakers may not yet have their teaching schedule.

"*" indicates required fields

Organization Information

Organization*

Address

Street Address Address Line 2 City State ZIP Code

Contact Person*

Daytime Phone

Best Phone Number Day of the Event*

Email*

Enter Email Confirm Email

Speaking Event Information

Date of Event*

Time Speaker Will Begin Speaking*

Alternative Date of Event

Alternative Time You Would Like Speaker to Begin

Location of Event (Mason Speakers will offer either in-person or virtual speaking engagements, at the discretion of the individual speaker. Please indicate your preference below. You can select both.)*

In-Person

Virtual/Remote

Address of Event (If in-person)

Street Address Room Number City State ZIP Code

Is Public Parking Available?

Yes

Allotted Time for Speaker*

Audience Size (a minimum of 10 participants is required)*

Audience Composition: Provide information about your group so the speaker can tailor their remarks appropriately.

Topic Request 1*

Alternate Topic 2 (Do Not choose the same speaker as primary topic selection)

Alternate Topic 3 (Do Not choose the same speaker as other topic selections)

Additional Information

Comments

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