Speaker and Public Engagement Request Form If you’d like an AWI team member to attend your event, please fill out the following form. Name * First Name Last Name Organization Phone * (###) ### #### Email * Will you be attending? * Yes No Still Unsure Today's Date MM DD YYYY Category Conference: Speaker or Panel Meeting: Guest Speaker Presentation Training Tabling event Education Program Other Date of Event MM DD YYYY Event Name Event Description Estimated # of attendees Audience Type Membership General Public School Group Other Topics of Interest General AWI Aquatic Invasive Species Water Quality Wildlife Land Use Other Event Location Event Timing Specific team member (s) requested Is there an opportunity for a speaker fee/honorarium to support our time? Additional Information Thank you for submitting a request. Our team will reach out to you after the request has been reviewed.
