National ASTD Speaker Request

Complete the following form to request a national ASTD representative to speak at a chapter event or meeting.

*To search a database of speakers connected to the workplace learning and performance profession, click here.

Chapter Name:  * 
Chapter City:  * 
Chapter State:
Chapter Contact Person:
Contact Person's Chapter Role:
Phone Number:
Email Address:  
Mailing Address:
   
What type of event do you need an ASTD speaker for?
   
What sort of role would you like the ASTD speaker to fill? (i.e. keynote speaker, general session, breakout session, etc.)
   
How many people are expected to attend this event?
   
Please list the date of your event. Is there any flexibility with this date?
   
Please provide the timed agenda for the event.
   
How much time will the speaker have to present?
   
Describe the participants at this event (chapter members, managers from the local business community, from the larger HR community)
   
Indicate your chapter's 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.
   
If the requested speaker is unavailable, is an alternate an option?
  

 

 
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