Public Affairs Office

Speakers Bureau Request Form

Today's Date:
 

What Topic(s) Would You Like Us To Focus On?

Will there be any other Speakers and what will they Focus On?


Type of Request:      On-site (MVN)       Off-site^*  
* Approximate Distance in miles from New Orleans:
^* Where Will Meeting Take Place?/Location:         

If needed, can the requestor provide audio/visual equipment?

 Screen      Slide Projector     Overhead Projector     Other

How should the room be laid out?

Who from the District is being requested to attend?

Description of Group/Organization,  

  •  The Key Persons,

  •  Who Do You Represent?,

  •  Who Will Be In Attendance?


The Purpose Of The Briefing/Presentation/Conference.


^*  If request is off-site, provide address/directions