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Board of Directors Speaking Engagement Request Form

Thank you for your interest in having a member of ASSP’s Board of Directors present at your event. Each fully completed request must be submitted a minimum of 60 days in advance of the event.  The Executive Committee reviews all requests according to SOG 6.1. Please note that travel by ASSP volunteer or staff leadership teams remains limited, but we look forward to presenting your request for consideration. 

mm/dd/yyyy
Speaker Request*





*Please note the Executive Committee reserves the right to select the most appropriate speaker for each event.

Type of request



Program or Event Attachment (flyer, program book, etc)
Would you like the board member to participate in any additional events/meetings occurring in conjunction with the event?

Audience size





Is this an anniversary event (such as chapter 50, 75 or 100 year)?

Honorarium

Corporate speaking requests**: in lieu of an honorarium, we ask corporate requests for a contribution to the ASSP Foundation.  The recommended contribution for corporate requests is $1000 although any level is welcome.  

ASSP Communities’ speaking requests: a donation of any level is always welcome but is not required to submit a request. Please enter 0 in the box below if selecting no donation.

Will be donating to the foundation

**A member of the foundation staff will follow up directly with you regarding your donation.
 
 
If you have any questions please contact our ASSP governance staff

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