Speaker Request Form

Organization/Sponsor: *

Topic Focus: *
To select more than one, hold the Control key [Ctrl] down on your keyboard.

Preferred Speaker: *

Other:

Open to other speakers:

Type of request (Panel, Presentation, Keynote, General Speech, PPT Presentation, Training): *

Event Name: *

Audience (size, demographics, please be as specific as possible): *

Date of Speech: *

Time Speech Should Begin (morning, afternoon, or specific time):

Length of Speech:

Event/Host Website:

Event City: *

Event State: *

Outside Jurisdiction:

Media Invited?:

Speaker Confirmation Deadline (date):
Preferably, requests should be filed six weeks before the event

What are the expectations of the speaker and the purpose of the event (please be as detailed as possible):

Additional Remarks:

POC: *

E-Mail: *

Phone:

If you have questions about the DCoE Speakers Bureau, please send an e-mail to DCoESpeakers@tma.osd.mil.