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

Phone

Organization

Event Date

Date

Event Start Time

Event End Time

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

For In-Person Events Only

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?

Sometimes our speakers bring a USB drive for a Microsoft PowerPoint presentation or to show other files. Please check the box if you have the following technology/equipment available.

Microsoft

Mac/Apple

Projector

Smart board

Audio speakers

We have no equipment available.

Will an Audio Visual Support Specialist be available, if the speaker needs assistance setting up?

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.

Flyer Upload

One file only.
5 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

Link

Would the speaker have Wi-Fi capability?

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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