1.	Requesting Organization:
			Location of Speaking Engagement:
			Type of Organization:
			Type of Occasion:
			Point of Contact:
			Phone
			Email:
	2	Audience Analysis
			Size of Group:
			Audience Description (age, interests, etc.):
			Will a meal be provided?	Yes:      No:
	3.	Details Regarding Speech		Date: MM/DD/YYYY	Time: HH:MMam / pm
			Date and Time
			Topic:
	4.	Are meeting facilities open to all, regardless of race and sex?		Yes:      No:
	5	What equipment will be available for the speaker's use?
			Lectern:
			Public address system:
			Microphone:
			Table:
			Chalkboard:
			Light pointer:
			Movie projector/screen:
			Overhead projector:
			Slide projector:
	6.	Have members of the media been invited?		Yes:      No:
	7.	Additional Information: