Request a Community Education Speaker

Thank you for your interest! Our Community Outreach opportunities are only open to our Cook County service area. Click here to find out if you are in our area.

Please note that a three-week notice is requested.

Contact

First Name

Last Name

Title

Email

Phone

Organization

Event Date

Date

Arrival Time

Approximate length of presentation time available or how long would you like the speaker to talk?

Event Information

Event Title and/or Theme

Event Description and/or Type of Event (Career Day, STEM Day, Event Judge, Youth Camp, etc.)

Please specify the age group of the audience. If students, please specify the exact grade level

Please select the topic you would like the speaker to address at your event

Understanding Your Sewer

Wastewater Treatment Process

Where Does IT Go?

Protecting Waterways

Stormwater Management

Water Conservation

Restore the Canopy

A Career in Wastewater Treatment and Stormwater Management

Approximate Number of Attendees

Is your organization a first-time partner with the MWRD?

Are you interested in a presentation in Spanish?

Is this event open to the public?

Is Attendance Free?

If members of the public will have to purchase a ticket to attend the event, please list the cost per ticket $

Please specify if you need multiple presentations on one date

If this is a virtual presentation, what platform works better for your audience?

Event Location

Name of Event Location

Street Address

Address Line 2

City

State

Postal/Zip Code

If the event is in Chicago, please list the neighborhood where the event is located (e.g., Rogers Park, West Ridge, Englewood, West Pullman)

Where should our speaker park?

If there is a fee to park, will a parking pass be provided?

Who should the speaker ask for when they arrive?

Do you have a flyer for your event? If yes, please attach it below or list the link to it. If you have an event website or social media invitation that is public, please also provide that link.

Occasionally, we have a photographer take photos of our speakers for our communication purposes (internal and external). If this is a youth event, do the participants have a media release form on file?

Additional Notes/Comments

Please note the following:

If this is a student presentation, there must always be a teacher or staff member present.
If a student ambassador will accompany the guest speaker to the next classroom or will need to travel with them to provide direction, please assign student pairs when possible.
Although a minimum three-week notice is requested, all requests submitted will be reviewed and considered for MWRD participation.
If your event is a fair or informational expo that does not require a speaker, please fill out a Community Event Representative form.

Thank you for submitting the MWRD speaker request form.

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