Request A Speaker

Are you interested in having a Bridging the Gap staff member or volunter come and speak at your workplace, church, school or organization? Please submit a speaker request form and we will contact you within 5 business days.

Contact Information
First Name
Last Name
Email Address
Phone Number
Organization
Date of Event
Date Format: MM slash DD slash YYYY
Host Organization
Address of Event
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Event Details
Choose a Subject ...
Purpose of Event
Preferred Length of Presentation
Speaker Stipend?
Estimated # of Attendees
Tell us more about your event so we can better determine how to meet your needs!
AV SETUP AVAILABILITY:
- All
- Projector
- Screen
- Microphones
- Podium
- Not Sure
List

request a speaker

Contact Information

Event Details