Request for a RPCV Speaker
Please fill out this form in its entirety. Allow up to one week to receive an acknowledgement.
Organization requesting speaker
Please indicate the organizations website, if applicable:
First Name of contact person
Last Name of contact person
Email address of contact person
Phone number of contact person
Brief description of the event
Where is the event:
Please put in full address so I can google map this:
Is this event accessible by public transportation?
Yes (please see below)
No, by car only
What are the public transport options for someone coming from Park Street in Boston?
Just give us a general sense: eg... Green line to Red line to bus 66, etc...
Description of the audience
This could be age group, number of audience expected, etc...
Dates and times of event:
Are the dates and times flexible?
Not flexible at all
Somewhat flexible (see below explanation)
Completely flexible (see below explanation)
Please explain above answer if you chose somewhat flexible or completely flexible:
Are you looking for a county/ region specific volunteer?
No, any country or region
Yes, see my request below
Yes, see my request below- but I am flexible if you do not have a volunteer from that region
Specify country/ region of preference:
What is the format of the event?
Panel, classroom discussion, ect...
The presenter can bring the following, if she/he wishes to:
Please check all that apply:
Other props, materials
None of these apply
Is there any of information you would like to add:
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