Speaker Request Form Speaker RequestedJerry Hawkins, Executive DirectorErrika Flood-Moultrie, Director of Operations and StrategyStephanie Drenka, Communications DirectorMarta Torres, Manager of Partnerships & TransformationImani Daniel, Racial Justice Administrative ManagerAny Dallas TRHT RepresentativeName* First Last Email* Organization/Company*Tell us more about your organizationWebsite PhoneDate of Event Date Format: MM slash DD slash YYYY Start Time : HH MM AM PM End Time : HH MM AM PM Event TypePanelConferencePresentationInternal MeetingIn-Person or Virtual?In-PersonVirtualTBDEvent DescriptionAudience DemographicsExpected number of attendeesDesired presentation lengthHonorariumThank you for valuing the intentional effort and hard work of our team. Will an honorarium be provided to support the mission of Dallas TRHT?YesNoIs your event a part of a fundraiser?YesNoMedia coverage expected?Other speakers/invitees
