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SPEAKER PROPOSAL
Note:
Please complete this form for all guest speaker requests. This form must be completed for all ministry related functions, activities, and annual days. Please refrain from establishing agreements or confirmations with speakers until approval is received from administration.
1. Requestor Information
Requesting Ministry
Ministry Representative
Ministry Representative Number
Ministry Representative Email
Event Type
Event Date
2. Speaker Information
Requested Speaker
Title or Position
Church or Organization
Physical Address
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FM
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
Phone Number
Website
Email Address
Pertinent Biographical Date (Please complete if information is not available online or printed)
Submit