Speaker Engagement Request

Speaker Engagement Request Form

CFLeads is the country’s national network of community foundations committed to community leadership. Through CFLeads, hundreds of community foundations from across the U.S. come together to strengthen their community leadership muscle, share field innovations, and tackle the key issues of our time.

CFLeads President and CEO, staff, and network of advocates welcome the opportunity to be a keynote or session speaker and share experiences and ideas with audiences interested in the practice of community leadership in the community foundation field. CFLeads’ mission is to help community foundations build strong communities by advancing effective practices, sharing knowledge, and galvanizing action on critical issues of our time.

Note: This form is designed to collect relevant information for considering speaker engagements. Please fill out all sections accurately to facilitate the processing of your request. We ask that you submit this form along with any supporting materials a minimum of four weeks and preferably 8 weeks before the event date.

Contact Information

Name *

First

Last

Organization/Company *

Position/Title *

Email *

Phone Number *

Preferred Method of ContactEmailPhone Number

Event Details

Event Name *

Location *

• In-person
• Virtual

Brief Description of Event *

Please list any CFLeads staff member you have in mind to speak. *

Main Objectives/Themes

Date/Time of Event *

Date

Time

Default time zone is Eastern.

Event Website

Audience Information

Expected Number of Attendees

Audience Demographics (e.g., industry, profession, interests, geography) *

Speaker Requirements

Topic/Subject Matter *

Desired Format (e.g., keynote speech, panel discussion, workshop) *

Specific Areas of Expertise Desired *

Speech/Presentation Date & Time *

Date

Time

Default time zone is Eastern.

Is the Speech/Presentation Time Firm or Flexible? *

• Yes
• No

Duration of Speech/Presentation *

Any Pre-event Preparation Required (e.g., materials, consultations)

Additional Information

Will the Event be Recorded or Live Streamed? *

• Recorded
• Live Streamed
• Recorded & Live Streamed

Any Previous Events or Speakers Similar to What's Being Requested? *

What other speakers are confirmed or being approached for your event?

Speaker Support Offered (select applicable)

• Hotel expense
• Travel expenses
• Honorarium

Please list amounts allocated for support

Any Other Special Requests or Considerations?

Can CFLeads Survey Event Participants for Feedback?

• Yes
• No

Please submit any supproting materials

Click or drag files to this area to upload. You can upload up to 3 files.

Confirmation and Follow-up

Deadline for Speaker Confirmation *

Submit