Speaker Request Form

Request a Speaker from the MI

Your information

Name(Required)

Event information

If the requested MI team member is not available, would you accept another team member?(Required)
Has the MI participated in this event in the last three years?(Required)
If this event is outside of the Washington, D.C., area, will you reimburse travel costs?(Required)

If you are requesting remarks or panel participation:

Will there be a Q&A?
Will press be in attendance?
Will a livestream or video be available?