Through exceptional learning and performance, we create a world that works better. 

 
 
Home  >  Membership  >  Chapter Leadership  >  Resources  >  Speaker Request Form

Chapter Speaker Request

Chapter Name:  * 
Chapter City:  * 
Chapter State:
Chapter Contact Person:
Contact Person's Chapter Role:
Contact Person's Company/Employer:
Phone Number:
Email Address:  
Mailing Address:
   

We may ship a box of ASTD materials to accompany the ASTD speaker, where should this box be sent (address, phone)?
   
What type of event do you need an ASTD speaker for?
   
What sort of role would you like the ASTD speaker to fill?
   
How many participants do you expect at this event?
   
Please list the date of your event? Is there any flexibility with this date?
   
Describe the participants at this event (chapter members, managers from the local business community, from the larger HR community)
   
Indicate your chapters ability to help with travel expenses (airfare, mileage, hotel) Note: Chapters will not be disqualified by this.
   
Where is the event being held? Address?
   
Is there a specific speaker you are requesting? If so, please fill in the name here.